Individual
MARYAM JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 944-4465
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020237
OR
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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