Individual
STEPHANIE SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 B AVE, LAKE OSWEGO, OR 97034-3131
(503) 697-0990
Mailing address
90 B AVE, LAKE OSWEGO, OR 97034-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015751
OR
183500000X
Pharmacist
71487
CA
Other
Enumeration date
06/17/2015
Last updated
12/28/2016
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