Individual
AMELITA F TIAOQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14555 SW TEAL BLVD, BEAVERTON, OR 97007-6193
(503) 590-9756
Mailing address
14555 SW TEAL BLVD, BEAVERTON, OR 97007-6193
(503) 590-9756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010618
OR
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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