Individual
DR. NICOLE NATASIA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
Mailing address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011808
OR
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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