Individual
MRS. YOLANDA TIU SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2497 SE BURNSIDE RD, GRESHAM, OR 97080-1246
(503) 669-4233
(503) 669-4238
Mailing address
2497 SE BURNSIDE RD, GRESHAM, OR 97080-1246
(503) 669-4233
(503) 669-4238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5786
OREGON PHARMACIST LICENSE
OR
Enumeration date
12/29/2012
Last updated
12/29/2012
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