Individual
MR. GREG STOKESBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5975 SW 185TH AVE, ALOHA, OR 97007
(503) 649-6562
Mailing address
5975 SW 185TH AVE, ALOHA, OR 97007-4553
(503) 649-6562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007702
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007702
STATE PHARMACIST LICENSE
OR
Enumeration date
02/23/2012
Last updated
02/23/2012
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