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Individual

GINA ELIZABETH MIGNECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3939 S BOND AVE APT 602, PORTLAND, OR 97239-4695

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0018374
OR

Other

Enumeration date
09/14/2021
Last updated
01/17/2025
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