Individual
DR. CHARLOTTE VINCENZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 SE BASELINE ST, HILLSBORO, OR 97123-4207
(503) 615-8384
Mailing address
955 SE BASELINE ST, HILLSBORO, OR 97123-4207
(503) 615-8384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013259
OR
Other
Enumeration date
07/02/2012
Last updated
08/24/2012
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