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Individual

MRS. DEBORAH BOTTLANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
4531 SE BELMONT ST, # 100, PORTLAND, OR 97215-1675
(503) 215-5973
Mailing address
12346 SE COUGAR PL, HAPPY VALLEY, OR 97086-7100

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010508
OR

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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