Individual
MIRANDA LYNN WATZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
406 MCCLAINE ST, SILVERTON, OR 97381-1921
(503) 873-8391
Mailing address
4866 SE ANTELOPE HILLS DR, GRESHAM, OR 97080-5499
(503) 305-0633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020111
OR
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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