Individual
MRS. FLORENCE ANNE WALDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12959 SW MORNINGSTAR DR, TIGARD, OR 97223-1770
(503) 590-2336
Mailing address
12959 SW MORNINGSTAR DR, TIGARD, OR 97223-1770
(503) 590-2336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5540
OR
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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