Individual
BRIDGET M FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 295-6480
Mailing address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 295-6480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012919
OR
183500000X
Pharmacist
Primary
2011026572
MO
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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