Individual
LINDSAY KAY FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9009 SW HALL BLVD, T-0345, TIGARD, OR 97223-4432
(503) 639-3446
(503) 639-3446
Mailing address
9009 SW HALL BLVD, T-0345, TIGARD, OR 97223-4432
(503) 639-3446
(503) 639-3446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11082
OR
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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