Individual
RICHARD GLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-6403
(503) 658-4374
Mailing address
12492 SE 155TH AVE, HAPPY VALLEY, OR 97086-4244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11675
OR
183500000X
Pharmacist
22018
WA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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