Individual
ANDREW J SCHLICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002
Mailing address
4432 SE MAIN ST, PORTLAND, OR 97215-2439
(320) 761-1751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012219
OR
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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