Manorak Chanthavong
Manorak Chanthavong is a Pharmacist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
5717 NE 138th AvePortland, OR 97230-3499
Phone: (503) 261-7547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 9171 (OR) |
|---|
Record details
| NPI number | 1841777240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2018 |
| Last updated in NPPES | July 27, 2018 |
| Mailing address | 5717 Ne 138th Ave, Portland, OR 97230-3499 |
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