Individual
IVANA KARMEN BARICEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9159 SE 82ND AVE, HAPPY VALLEY, OR 97086-3761
(503) 771-0274
Mailing address
4239 SW 4TH AVE, PORTLAND, OR 97239-4140
(503) 453-7082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019547
OR
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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