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Individual

MRS. CHRISTINE CLAIRE CAROLINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 402-2946
Mailing address
6754 SW ASHDALE DR, PORTLAND, OR 97223-1347
(541) 517-1906

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0013284
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0013284
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0013284
OREGON BOARD OF PHARMACY
OR
Enumeration date
09/04/2012
Last updated
08/04/2021
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