Individual
MICHAELA I FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
12360 SE BURNSIDE, PORTLAND, OR 97233
(971) 279-4800
(971) 279-2763
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0005034
OR
Other
Enumeration date
09/01/2016
Last updated
04/20/2021
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