Individual
REEM MOUNTASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9855 SW CAPITOL HWY, 97219, OR 97219
(503) 245-4690
Mailing address
9855 SW CAPITOL HWY, 97219, OR 97219
(503) 245-4690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015630
OR
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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