Individual
C'REL MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1620 NE GRAND AVE, PORTLAND, OR 97232-1149
(503) 493-2715
(503) 493-2752
Mailing address
4515 NE EMERSON ST, PORTLAND, OR 97218-1539
(503) 358-0192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011945
OR
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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