Leong, Jackson Bak
Leong, Jackson Bak is an sole proprietor health care provider with primary practice located at 16100 Sw 72Nd Ave , Portland OR 97224-7745. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Leong, Jackson Bak can be contacted via phone (503) 626-9436.Contact Information
Primary practice address
16100 Sw 72Nd Ave
Portland OR 97224-7745
Phone: (503) 626-9436
Fax: (503) 372-1792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7715 | Oregon |
| Pharmacy Service Providers / Geriatric | 1835G0303X | 7715 | Oregon |
Profile Details
| NPI number | 1679984850 |
|---|---|
| LBN Legal business name | Leong, Jackson Bak |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2014 |
| Last updated | May 9th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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