Individual
MISS JONELLE LYNN SMITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 526-6597
(541) 526-6687
Mailing address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 526-6597
(541) 526-6687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8262
OR
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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