Individual
MS. REBECCA JANETTE LIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17323 SW JAY STREET, APT. 303, BEAVERTON, OR 97003
(406) 241-1824
Mailing address
17323 SW JAY STREET, APT. 303, BEAVERTON, OR 97003
(406) 241-1824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2937
MT
Other
Enumeration date
02/07/2006
Last updated
01/20/2016
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