Individual
CAROLINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-3299
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-3299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12663
OR
Other
Enumeration date
07/05/2006
Last updated
02/03/2016
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