Individual
MINDEE LEE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 261-7541
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60168010
WA
183500000X
Pharmacist
RPH0012407
OR
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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