Individual
SANDRA LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9945 SW KENT CT, TIGARD, OR 97224-4553
(503) 620-0337
Mailing address
9945 SW KENT CT, TIGARD, OR 97224-4553
(503) 620-0337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5863
OR
1835N1003X
Nutrition Support Pharmacist
5863
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5863
OR
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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