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Individual

NANCY L GARLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1040 NW 22ND AVE STE 600, PORTLAND, OR 97210-3041
(503) 413-8165
(503) 413-8166
Mailing address
5660 SW WILBARD ST, PORTLAND, OR 97219-5658
(503) 452-7616

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7152
OR

Other

Enumeration date
11/12/2020
Last updated
11/12/2020
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