Individual
GARRET RANDAL MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7070 NE SANDY BLVD, PORTLAND, OR 97213-5278
(503) 484-1328
Mailing address
107 N COOK ST APT 441, PORTLAND, OR 97227-2030
(253) 495-4598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017068
OR
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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