Individual
SUSAN FRANCES CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4212 NE BROADWAY ST, PORTLAND, OR 97213-1460
(503) 282-1323
Mailing address
3353 SE CARUTHERS ST, PORTLAND, OR 97214-5723
(503) 236-8426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6082
OR
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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