Individual
KOURTNEY LEE LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
415 NE 181ST STREET, PORTLAND, OR 97230
(503) 667-9879
Mailing address
415 NE 181ST STREET, PORTLAND, OR 97230
(503) 667-9879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018715
OR
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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