NPI 1114429602

Johanna Dang

Practitioner Pharmacy Technician Portland, OR

Practice location

Address: 14700 SE Division St, Portland, OR 97236
Phone: (503) 762-4436

Registered specialties (2)

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PI-0012294 (OR)

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Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PI-0012294 (OR)

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Registry record

NPI: 1114429602
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2018
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.