Individual
NICOLE ANN BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(800) 888-8540
(503) 261-7978
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(800) 888-8540
(503) 261-7978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011902
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0011902
PHARMACIST LICENSE
OR
Enumeration date
01/04/2010
Last updated
01/04/2010
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