Individual
MAYA MERRYAM MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 E HARBOR DR, WARRENTON, OR 97146-9689
(503) 861-9324
Mailing address
645 NW ALTISHIN PL, BEAVERTON, OR 97006-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015164
OR
Other
Enumeration date
04/05/2016
Last updated
04/06/2016
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