Individual
ALYSSA RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3833 SW BOND AVE APT 340, PORTLAND, OR 97239-4739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016879-P
OR
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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