Individual
MS. LISA WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2490 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9204
(503) 435-3125
Mailing address
2490 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P4409
ID
183500000X
Pharmacist
Primary
RPH-0012226
OR
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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