Individual
AIA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
940 SE CESAR ESTRADA CHAVEZ BLVD, PORTLAND, OR 97214
(503) 238-6053
Mailing address
2405 NE JOHN OLSEN AVE APT 421, HILLSBORO, OR 97006-6761
(973) 874-6017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH0018297
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0018297
OR
Other
Enumeration date
11/01/2021
Last updated
11/02/2021
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