Individual
MARY ALICE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7700 NE AMBASSADOR PL, UNIT 103, PORTLAND, OR 97220-1394
(971) 230-0555
Mailing address
4249 SUSSEX ST, WEST LINN, OR 97068-3725
(971) 230-0555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS40669
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014013
OR
Other
Enumeration date
12/16/2011
Last updated
07/22/2016
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