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Ammata Vongsouvanh, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Beaverton, Oregon
NPI 1609112234

Ammata Vongsouvanh is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Beaverton, OR and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Ammata Vongsouvanh practices in Beaverton, OR and has the professional credentials of PHARMD. The NPI Number for Ammata Vongsouvanh is 1609112234 and holds a License No. 0011789 (Oregon).

The current practice location address for Ammata Vongsouvanh is 15995 Sw Walker Rd, Beaverton, OR and can be reached out via phone at 503-690-5833 and via fax at 503-690-5827.

Location: 15995 Sw Walker Rd, Beaverton, OR, 97006-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609112234
Provider Name
Ammata Vongsouvanh
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
15995 Sw Walker Rd, Beaverton, OR, 97006-4910
Phone Number
503-690-5833
Fax Number
503-690-5827
Provider Enumeration Date
12/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15995 Sw Walker Rd
City
Beaverton
State
Oregon
Zip
97006-4910
Phone Number
503-690-5833
Fax Number
503-690-5827
person
Provider Business Mailing Address Details
Address
15995 Sw Walker Rd
City
Beaverton
State
Oregon
Zip
97006-4910
Phone Number
503-690-5833
Fax Number
503-690-5827
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH-0011789 (Oregon)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
0011789 (Oregon)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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