Individual
LAWRENCE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12250 SW CANYON RD, BEAVERTON, OR 97005-2116
(503) 644-2101
(503) 626-8698
Mailing address
12250 SW CANYON RD, BEAVERTON, OR 97005-2116
(503) 644-2101
(503) 626-8698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006152
OR
Other
Enumeration date
10/23/2016
Last updated
10/23/2016
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