Organization
FRED MEYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE WINDEN (PHARMACIST)
(503) 293-7085
Entity
Organization
Contact information
Practice address
11565 SW PACIFIC HWY, TIGARD, OR 97223-8845
(503) 293-7085
Mailing address
11565 SW PACIFIC HWY, TIGARD, OR 97223-8845
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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