Surichamorn, Wanida

Surichamorn, Wanida is an individual health care provider with primary practice located at 7850 Sw Dartmouth St , Tigard OR 97223-8401. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Surichamorn, Wanida can be contacted via phone (503) 639-0722.

Contact Information

Primary practice address
7850 Sw Dartmouth St Tigard OR 97223-8401
Phone: (503) 639-0722
Fax: (503) 639-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9494 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 9494 Oregon

Profile Details

NPI number 1265704050
LBN Legal business name Surichamorn, Wanida
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2012
Last updated Jan 5th, 2016 - about 8 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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