Individual
MRS. JUDITH ANN GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3499
(506) 261-7547
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3499
(503) 261-7547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007164
OR
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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