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Individual

KATHLEEN M MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 SE 22ND AVE, PORTLAND, OR 97202-2918
(503) 797-7489
(503) 797-3170
Mailing address
2135 SE 120TH AVE, PORTLAND, OR 97216-4034
(503) 797-7489
(503) 797-3170

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0004345
OR

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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