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Individual

AMANDA WHITECOTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
12002 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8381
(503) 698-8446
(503) 698-5020
Mailing address
12002 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8381
(503) 698-8446
(503) 698-5020

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010724
OR

Other

Enumeration date
05/15/2011
Last updated
05/15/2011
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