Individual
MR. RUSSELL ROY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16625 326ND AVE, SANDY, OR 97055
(503) 668-2363
(503) 668-2327
Mailing address
16625 SE 362ND DR, SANDY, OR 97055-9247
(503) 668-2363
(503) 668-2327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7415
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
7415
OR
Other
Enumeration date
12/07/2012
Last updated
04/27/2017
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