Individual
MR. STEPHEN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6186
(503) 331-6187
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6186
(503) 331-6187
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0009671
OR
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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