Individual
KATELYN BOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(971) 713-7240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016174
OR
Other
Enumeration date
09/11/2018
Last updated
08/23/2022
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