Individual
PHEBA MARIAM JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
OHSU PHARMACY AT CHH BUILDING 2, 3303 SW BOND AVE RM 1090, PORTLAND, OR 97239
(503) 346-1270
Mailing address
13676 SW ROSEMARY LN, TIGARD, OR 97223-1525
(503) 810-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012195
OR
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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