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Individual

DR. COURTNEY LYNN VANBRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD.

Contact information

Practice address
2800 SE HAWTHORNE BLVD, PORTLAND, OR 97214-2945
(503) 232-3930
Mailing address
2800 SE HAWTHORNE BLVD, PORTLAND, OR 97214-2945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22129
NC

Other

Enumeration date
09/19/2011
Last updated
11/29/2012
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