Individual
SHAWNA L LAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7206 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 284-1159
(503) 281-1211
Mailing address
7206 NE SANDY BLVD, PORTLAND, OR 97213-5741
(503) 284-1159
(503) 281-1211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008687
OR
183500000X
Pharmacist
PH00022210
WA
183500000X
Pharmacist
RPH456974
CA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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