Healthcare Provider Details

I. General information

NPI: 1902627888
Provider Name (Legal Business Name): CINDY HUANG PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 NE WEIDLER ST
PORTLAND OR
97232-1851
US

IV. Provider business mailing address

9118 SE CLINTON ST
PORTLAND OR
97266-1440
US

V. Phone/Fax

Practice location:
  • Phone: 503-280-1333
  • Fax:
Mailing address:
  • Phone: 503-998-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0020216
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: