Individual
KATIE YABUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1400
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
OR-0012800
OR
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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