Individual
MATTHEW THOMPSON LENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(503) 250-1944
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 250-1944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00051006
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0010269
OR
Other
Enumeration date
03/07/2013
Last updated
10/21/2016
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