Individual
VESNA PUZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12575 SW WALKER RD, BEAVERTON, OR 97005-1306
(503) 646-2423
Mailing address
772 NW 118TH AVE UNIT 101, PORTLAND, OR 97229-5966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011109
OR
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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