Individual
MANDY N AMBROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
11930 SE DIVISION ST, PORTLAND, OR 97266-1037
(503) 761-6640
(503) 760-9219
Mailing address
11930 SE DIVISION ST, PORTLAND, OR 97266-1037
(503) 761-6640
(503) 760-9219
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0007835
OR
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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