Individual
DEBRA LYNN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7900
(503) 261-7978
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7900
(503) 261-7978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9410
OR
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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