Individual
DR. MICHELE KAREN KODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3529 NE MARTIN LUTHER KING, JR. BLVD., PORTLAND, OR 97211
(503) 988-3634
Mailing address
520 NE KNOTT ST, PORTLAND, OR 97212-3110
(503) 756-5091
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0009496
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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