Individual
ANDREA JASMINE USVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 STACY ALLISON WAY, WOODBURN, OR 97071-2904
(503) 981-9625
Mailing address
16603 SW TIMBERLAND DR, BEAVERTON, OR 97007-7824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020756
OR
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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