Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ammata Vongsouvanh, PHARMD

Individual provider Pharmacist · NPI 1609112234

Ammata Vongsouvanh, PHARMD is a Pharmacist in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

15995 SW Walker Rd
Beaverton, OR 97006-4910
Phone: (503) 690-5833
Fax: (503) 690-5827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0011789 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence RPH-0011789 (OR)

Record details

NPI number1609112234
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedDecember 31, 2012
Last updated in NPPESApril 26, 2017

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