Provider Demographics
NPI:1265640528
Name:SAING, SOKUNNARITH (RPH)
Entity Type:Individual
Prefix:
First Name:SOKUNNARITH
Middle Name:
Last Name:SAING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16407 SW CORNELIAN WAY
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8851
Mailing Address - Country:US
Mailing Address - Phone:503-380-9790
Mailing Address - Fax:
Practice Address - Street 1:9055 SW MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7434
Practice Address - Country:US
Practice Address - Phone:503-521-5861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist