Provider Demographics
NPI:1942225354
Name:BUI, JAMES BIEU CAO (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES BIEU
Middle Name:CAO
Last Name:BUI
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 1:3122 NE 155TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-4430
Mailing Address - Country:US
Mailing Address - Phone:503-841-3277
Mailing Address - Fax:971-544-0733
Practice Address - Street 1:15901 SW JENKINS RD
Practice Address - Street 2:COSTCO
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5045
Practice Address - Country:US
Practice Address - Phone:503-626-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9613183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist