Individual
LORRAINE ELIZABETH DE LA RIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
Mailing address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8340
(503) 576-8340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0012990
OR
Other
Enumeration date
06/24/2022
Last updated
09/27/2023
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