LY Pong

Pharmacist · Happy Valley, OR

Individual Active NPI

NPI number 1255740700

Practice location

10000 SE 82ND Ave
Happy Valley, OR 97086-2304
Phone
(503) 788-4757
Fax
(503) 788-5759

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NPI record

NPI
1255740700
Entity type
Individual (Type 1)
Enumeration date
August 8, 2014
Last updated
August 8, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 9823 OR

About LY Pong

LY Pong is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 10000 SE 82ND Ave, Happy Valley, OR 97086-2304. The NPI number 1255740700 was assigned on August 8, 2014 and the record was last updated on August 8, 2014.

LY Pong lists a license in the registry: #9823 (OR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of LY Pong?

The NPI number is 1255740700.

What is the phone number of LY Pong?

The phone number listed for the practice location is (503) 788-4757.

Where is LY Pong located?

10000 SE 82ND Ave, Happy Valley, OR 97086-2304.

What is the taxonomy code for LY Pong?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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