Provider Demographics
NPI:1831435213
Name:HUANG, JAMES L (PHARMD, BCACP, CDE)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:HUANG
Suffix:
Gender:M
Credentials:PHARMD, BCACP, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N GRAHAM ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1676
Mailing Address - Country:US
Mailing Address - Phone:503-413-4134
Mailing Address - Fax:503-413-1895
Practice Address - Street 1:300 N GRAHAM ST STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227
Practice Address - Country:US
Practice Address - Phone:503-413-4134
Practice Address - Fax:503-413-1895
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00141451835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist