Individual
JESSICA WINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002
Mailing address
3737 NE 80TH AVE, PORTLAND, OR 97213-7129
(219) 776-1408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014367
OR
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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