Individual
SUSAN WONG FITZCHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
358 WARNER MILNE RD # G103, OREGON CITY, OR 97045-4016
(503) 655-1221
Mailing address
358 WARNER MILNE RD # G103, OREGON CITY, OR 97045-4016
(503) 655-1221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00014609
WA
183500000X
Pharmacist
RPH0007527
OR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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