Leong, Jackson Bak

Leong, Jackson Bak is an sole proprietor health care provider with primary practice located at 16100 Sw 72Nd Ave , Portland OR 97224-7745. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Leong, Jackson Bak can be contacted via phone (503) 626-9436.

Contact Information

Primary practice address
16100 Sw 72Nd Ave Portland OR 97224-7745
Phone: (503) 626-9436
Fax: (503) 372-1792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7715 Oregon
Pharmacy Service Providers / Geriatric 1835G0303X 7715 Oregon

Profile Details

NPI number 1679984850
LBN Legal business name Leong, Jackson Bak
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2014
Last updated May 9th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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