Individual
MARY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-4747
Mailing address
610 S 45TH AVE # B, YAKIMA, WA 98908-3335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60280710
WA
Other
Enumeration date
04/16/2012
Last updated
10/13/2021
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