Individual
RIKKI HANTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(253) 259-6312
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PI-0010901
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0014334
OR
Other
Enumeration date
07/03/2014
Last updated
12/14/2015
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