MEDICARE: KATHERINE TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH-0020002	OR

General Provider Information

NPI Number	:	1366274573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE TRAN

Provider Business Mailing Address
First Line	:	6004 SE HEIKE ST
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-8296
Country	:	US
Telephone Number	:	503-693-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 NE 181ST AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-6702
Country	:	US
Telephone Number	:	503-661-6991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/17/2024

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Directions to “ KATHERINE TRAN ” Practice Location

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