Individual
DEIRDRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17850 LOWER BOONES FERRY RD, LAKE OSWEGO, OR 97035-5228
(971) 233-0113
Mailing address
30398 SW THOMAS ST, #2601, WILSONVILLE, OR 97070-6646
(503) 752-3947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012051
OR
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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