Individual
KAYLEIGH DENISE SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 261-4403
Mailing address
11806 NE 122ND AVE APT 47, VANCOUVER, WA 98682-2257
(541) 556-5643
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0007233
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007233
CERTIFIED PHARMACY TECHNICIAN
OR
Enumeration date
04/28/2021
Last updated
04/28/2021
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