Individual
ALBERTA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 STACEY ALLISON WAY, WOODBURN, OR 97071-2904
(503) 981-9625
(503) 982-9330
Mailing address
3002 STACEY ALLISON WAY, WOODBURN, OR 97071-2904
(503) 981-9625
(503) 982-9330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10025
OR
Other
Enumeration date
08/23/2014
Last updated
08/23/2014
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