IndividualActive
Diane Pham, PHARM.D.
NPI 1003159575 · Pharmacist · Beaverton, OR
Provider details
- NPI number
- 1003159575
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- RPH0013429 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
14625 Sw Allen Blvd
Beaverton, OR 97007-3697
Phone: (714) 204-9190
Approximate (ZIP-level) locationGet directions
Mailing address
14625 Sw Allen Blvd
Beaverton, OR 97007-3697
Registry dates
- Enumerated
- 2013-04-02
- Last updated
- 2013-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.