Most Relevant Information
Provider Data
  | NPI Number: | 1003345521 | 
| Provider Name: | LEENA KAHLON | 
| Entity Type: | Individual | 
| Taxonomy Code: | 333600000X | 
| Specialty: | Pharmacy | 
| License Number: | PI-0011719 | 
Most Important Dates
  | Enumeration Date: | 06/08/2017 | 
| Last Updated: | 06/08/2017 | 
Provider Practice Location
  12606 NE 95TH ST
      
      VANCOUVER
      WA
      986822398
  Practice Location Phone/Fax
      | Phone: | 5037013403 | 
| Fax: | 
Provider Mailing Location
  17818 NW SOLANO CT
      
      PORTLAND
      OR
      972292237
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |