Individual
STEPHANIE BETH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 NW 10TH AVE, PORTLAND, OR 97209-3202
(541) 342-7648
Mailing address
600 NW 10TH AVE, PORTLAND, OR 97209-3202
(541) 342-7648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012401
OR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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