Individual
LACEANN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 SW MARKET ST, PORTLAND, OR 97201-5723
(888) 231-8424
Mailing address
100 SW MARKET ST, PORTLAND, OR 97201-5723
(503) 225-5498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014840
OR
Other
Enumeration date
05/02/2014
Last updated
01/04/2021
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