Individual
MS. DEBRA KAY DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5011
Mailing address
17261 KELOK RD, LAKE OSWEGO, OR 97034-5669
(503) 969-4496
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051032896
IL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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