Individual
GAIL SANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 254-7383
Mailing address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(360) 693-0613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00042975
WA
183500000X
Pharmacist
Primary
0009992
OR
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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