Individual
PAMELA LOUISE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5975 SW 185TH AVE, ALOHA, OR 97007-4553
(503) 649-6562
Mailing address
5975 SW 185TH AVE, ALOHA, OR 97007-4553
(503) 649-6562
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0002725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002725
PHARMACY TECHNICIAN LICENSE
OR
Enumeration date
07/08/2012
Last updated
07/08/2012
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