Individual
LOGAN GAMELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 SW 5TH AVE, PORTLAND, OR 97204-1703
(503) 351-0333
(503) 416-1382
Mailing address
5257 NE 47TH AVE, PORTLAND, OR 97218-1965
(503) 351-0333
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.298164
IL
183500000X
Pharmacist
RP448964
PA
183500000X
Pharmacist
RPH-0017620
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017620
OR
Other
Enumeration date
02/01/2015
Last updated
06/10/2024
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