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Individual

ANNA ALEKSANDROVNA BOGLAYEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
17275 NW CORNELL RD, BEAVERTON, OR 97006-3297
(503) 207-7632
(503) 207-7628
Mailing address
17275 NW CORNELL RD, BEAVERTON, OR 97006-3297
(503) 207-7632
(503) 207-7628

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015664
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0015664
OR

Other

Enumeration date
10/24/2016
Last updated
04/05/2018
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