Individual
MR. THOMAS WADE IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
12250 SW CANYON RD, BEAVERTON, OR 97005-2116
(503) 644-2101
(503) 626-8698
Mailing address
12250 SW CANYON RD, BEAVERTON, OR 97005-2116
(503) 644-2101
(503) 626-8698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00005882
NM
183500000X
Pharmacist
Primary
RPH-0014022
OR
Other
Enumeration date
04/12/2007
Last updated
10/23/2015
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