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

AMMATA VONGSOUVANH, PHARM. D

Active

AMMATA VONGSOUVANH, PHARM. D is a Pharmacist healthcare provider located in BEAVERTON, Oregon. NPI 1609112234 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BEAVERTON, OR

Registration Details

NPI Number: 1609112234
Provider Type: Individual
Gender: Male
NPI Issued: Dec 31, 2012 (13.595377909945 yrs)
Last Updated: Apr 26, 2017
Licenses: 0011789 (OR)

RPH-0011789 (OR)

Practice Information

Address: 15995 SW WALKER RD

BEAVERTON, OR, 970064910
Browse OR providers · Browse ZIP 97006
Phone: 5036905833
Fax: 5036905827
Primary Specialty: Pharmacist
183500000X
Additional Specialty: Pharmacist Clinician (PhC)

Other Pharmacist Providers in BEAVERTON, OR

Name	Credential	NPI
MS. REBECCA JANETTE LIDEL	RPH	1255303749
MR. JAMES BIEU CAO BUI	RPH	1942225354
MR. PETER J WONG	RPH	1477677987
MR. THOMAS WADE IRBY	R.PH.	1598989311
DR. YIN MAK	PHARM.D.	1205052511
SOKUNNARITH SAING	R.PH.	1265640528

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.