Individual
SALLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3930 SE POWELL BLVD, PORTLAND, OR 97202-1722
(503) 772-4445
(503) 772-4448
Mailing address
3930 SE POWELL BLVD, PORTLAND, OR 97202-1722
(503) 772-4445
(503) 772-4448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8503
OR
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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