Individual
MS. CAROL ANNE VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH. MBA
Contact information
Practice address
10865 SW HIGHLAND DR, TIGARD, OR 97224-3510
(503) 381-7698
Mailing address
10865 SW HIGHLAND DR, TIGARD, OR 97224-3510
(503) 381-7698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8069
WA
183500000X
Pharmacist
Primary
8582
OR
1835G0303X
Geriatric Pharmacist
8582
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
8582
OR
Other
Enumeration date
06/23/2006
Last updated
09/30/2009
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