Individual
CULLEN MCCLAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PHARMD
Contact information
Practice address
6025 JEAN RD, LAKE OSWEGO, OR 97035-5307
(503) 303-7373
Mailing address
1878 SE 104TH CT, PORTLAND, OR 97216-2910
(503) 793-1863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP10723
OR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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