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Individual

NICOLE POLLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 350-2434
Mailing address
8017 SW LARCH ST, PORTLAND, OR 97223-5839
(503) 702-2792

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9866
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60290431
WA

Other

Enumeration date
11/15/2016
Last updated
11/15/2016
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