Individual
VERA ENGELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 657-6348
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8114
OR
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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