Individual
HENRY MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4849 NE 138TH AVE, PORTLAND, OR 97230-3401
(503) 257-3935
Mailing address
762 SE 7TH AVE, HILLSBORO, OR 97123-4517
(907) 884-7127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16828
OR
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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