Individual
MS. MELISSA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 N INTERSTATE AVE, PHARMACY, PORTLAND, OR 97217-4834
(503) 467-4848
(503) 808-9911
Mailing address
2137 N WYGANT ST, PORTLAND, OR 97217-3461
(503) 288-1019
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T-0010267
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-0010267
PHARMACY TECH. LICENCE
OR
Enumeration date
09/28/2006
Last updated
07/08/2007
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