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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOHAMMAD REZA SASAN, RPH

Active Sole Proprietor

Pharmacist Clinician (PhC) · TUALATIN, OR

Registration Details

NPI Number
1164850723
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2013 (12.51664113062 yrs)
Last Updated
May 3, 2017
Licenses
13388 (OR)
35947 (TX)
0013388 (OR)
Sole Proprietor
Yes

Practice Information

Address
19200 SW MARTINAZZI AVE
TUALATIN, OR, 970626357
Browse OR providers · Browse ZIP 97062
Phone
5036914233
Fax
5036914220
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in TUALATIN, OR

Name Credential NPI
DR. MARTINA MAN PEIL PHARMD 1982938973
NICHOLAS CHANG 1073865333
LISA EAST MAI 1396187308
RYAN WARGO PHARMD, BCACP 1801257324
MRS. PAM K COCKRELL RPH 1003361072
RICK BALDWIN RPH 1962945329
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.