Individual
DEAN MEENACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(855) 784-4383
Mailing address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015566
WA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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