Individual
PATRICK MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17850 LOWER BOONES FERRY RD, LAKE OSWEGO, OR 97035-5228
(971) 233-0113
Mailing address
3706 SE 13TH AVE, PORTLAND, OR 97202-3813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019760
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0013675
OR
Other
Enumeration date
05/24/2022
Last updated
11/08/2023
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