Individual
GERISSA ABDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
(503) 643-2724
Mailing address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0019272
OR
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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