Individual
PAMELA CHUKWULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 SW 5TH AVE, SUITE 900, PORTLAND, OR 97204-1753
(503) 416-5864
Mailing address
315 SW 5TH AVE, SUITE 900, PORTLAND, OR 97204-1753
(503) 416-5864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015422
OR
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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