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Individual

TERRY DOUGLAS BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5673 NW 181ST AVE, PORTLAND, OR 97229-7900
(503) 645-7561
Mailing address
5673 NW 181ST AVE, PORTLAND, OR 97229-7900
(503) 645-7561

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009139
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0009139
OR

Other

Enumeration date
02/21/2012
Last updated
04/25/2017
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