Individual
MRS. SHELLY RAFF HEAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13939 SW PACIFIC HWY, TIGARD, OR 97223-4838
(503) 670-9812
Mailing address
13932 SUNDELEAF DR, LAKE OSWEGO, OR 97034-2039
(847) 913-0873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012609
OR
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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