Individual
RONNIE LEE PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 294-4321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018642
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0013037
OR
Other
Enumeration date
05/16/2019
Last updated
10/15/2021
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