Individual
KRISTINA WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(866) 279-1751
(503) 626-4419
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(866) 279-1751
(503) 626-4419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9325
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9325
OR
Other
Enumeration date
09/17/2016
Last updated
10/01/2016
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