Individual
MR. MATTHEW LEMOYNE MAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002
(971) 233-1006
Mailing address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002
(971) 233-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5676
OR
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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