Healthcare Provider Details

I. General information

NPI: 1831435213
Provider Name (Legal Business Name): JAMES L HUANG PHARMD, BCACP, CDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2012
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N GRAHAM ST STE 200
PORTLAND OR
97227
US

IV. Provider business mailing address

300 N GRAHAM ST STE 200
PORTLAND OR
97227-1676
US

V. Phone/Fax

Practice location:
  • Phone: 503-413-4134
  • Fax: 503-413-1895
Mailing address:
  • Phone: 503-413-4134
  • Fax: 503-413-1895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0014145
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: