Individual
LAURA LEE DE SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5717 NE 138TH AVE, AIRPORT WAY CENTER, PORTLAND, OR 97230-3409
(503) 261-7541
(503) 261-2048
Mailing address
5717 NE 138TH AVE, AIRPORT WAY CENTER, PORTLAND, OR 97230-3409
(503) 261-7541
(503) 261-2048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0009572
OR
Other
Enumeration date
12/13/2007
Last updated
03/02/2010
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