Individual
KATELYN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20100 MCLOUGHLIN BLVD, GLADSTONE, OR 97027-2604
(503) 722-0868
Mailing address
20100 MCLOUGHLIN BLVD, GLADSTONE, OR 97027-2604
(503) 722-0868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015641
OR
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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