Individual
MRS. PAM K COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(866) 280-8818
Mailing address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(866) 280-8818
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
76760
OR
Other
Enumeration date
08/19/2016
Last updated
10/06/2016
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