Individual
PATRICIA MARIE MOSSBRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 331-6462
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 331-6462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8450
OR
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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