Individual
MARA GOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(763) 587-8496
Mailing address
1535 SE 29TH AVE UNIT 6, PORTLAND, OR 97214-4970
(763) 587-8496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020575
OR
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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