Provider Demographics
NPI:1720338759
Name:PATEL, AMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMAN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SW EDGEWAY DR
Mailing Address - Street 2:#J382
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-3978
Mailing Address - Country:US
Mailing Address - Phone:503-333-5865
Mailing Address - Fax:
Practice Address - Street 1:210 SW EDGEWAY DRIVE
Practice Address - Street 2:#J382
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006
Practice Address - Country:US
Practice Address - Phone:503-333-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist