Individual
DOMENICA MARIE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P2PHAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 273-5072
Mailing address
3710 SW US VETERANS HOSPITAL RD, P2PHAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 273-5072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009906
OR
Other
Enumeration date
06/16/2006
Last updated
07/12/2007
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