Individual
KATE R FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(503) 626-9436
(503) 372-1792
Mailing address
16100 SW 72ND AVE, PORTLAND, OR 97224-7745
(503) 626-9436
(503) 372-1792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7041
OR
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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