Individual
MARISSA OSTBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7216 SW DURHAM RD STE 200, PORTLAND, OR 97224-7594
(503) 718-5700
Mailing address
7216 SW DURHAM RD STE 200, PORTLAND, OR 97224-7594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011337
OR
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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