Individual
DR. LYDIA DAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4285 W POWELL BLVD, GRESHAM, OR 97030
(503) 492-2922
Mailing address
4285 W POWELL BLVD, GRESHAM, OR 97030
(503) 492-2922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013020
OR
183500000X
Pharmacist
051.295308
IL
183500000X
Pharmacist
13462
NE
Other
Enumeration date
10/21/2011
Last updated
01/22/2013
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