Individual
MS. EDYTH ADELE WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-8774
Mailing address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-8774
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
5654
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5654
OR
1835P1300X
Psychiatric Pharmacist
11799
WA
Other
Enumeration date
06/30/2005
Last updated
10/12/2012
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