Individual
SAMANTHA UMETSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4816 NW BETHANY BLVD, PORTLAND, OR 97229-9254
(503) 439-9014
(503) 533-0579
Mailing address
14800 NW CORNELL RD APT 15G, PORTLAND, OR 97229-7417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018129
OR
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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