Dr. Ky San
Pharmacist
5329 Ne Martin Luther King Jr Blvd, Portland
Oregon, 97211-3237
503-988-8264 Dr. Ky San is a pharmacist in Portland, Oregon. Patients can reach him at 5329 Ne Martin Luther King Jr Blvd, Portland or contact him on 503-988-8264. Active license number of Dr. Ky San is 53066 for Pharmacist in California.
Dr. Ky San is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Ky San speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Ky San |
| Specialization: | Pharmacist |
| Credentials: | PHARM.D. |
| Gender: | Male |
| Location: | 5329 Ne Martin Luther King Jr Blvd, Portland,
Oregon, 97211-3237 |
| Phone: | 503-988-8264 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Ky San are as mentioned below.
| NPI Number: | 1306994553 |
| NPI Enumeration Date: | 06 Jan, 2007 |
| NPI Last Update On: | 13 Jun, 2023 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ky San are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 53066 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ky San such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| W598753 | Other | California | Pharmacist |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2700 Dolbeer St, Pharmacy
Eureka, California |
| Zip: | 95501-4736 |
| Phone Number: | 707-445-8121 |
Patients can reach Dr. Ky San at
5329 Ne Martin Luther King Jr Blvd, Portland, Oregon or can
call on phone at 503-988-8264.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.