Individual
LAURA ELISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16303 BRYANT RD, LAKE OSWEGO, OR 97035-4307
(503) 636-5697
Mailing address
600 NW 10TH AVE, PORTLAND, OR 97209-3202
(503) 227-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013599
OR
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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