Individual
DIANE MARIE GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 SW 5TH AVE, PORTLAND, OR 97204-1703
(503) 416-5963
Mailing address
315 SW 5TH AVE # 900, PORTLAND, OR 97204-1703
(503) 416-5963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHAP1019
AK
183500000X
Pharmacist
Primary
RPH-0012534
OR
Other
Enumeration date
04/17/2007
Last updated
04/12/2021
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