Individual
EMAHLIE MACDANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 944-4465
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 0013114 - P
OR
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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