Individual
LECIA MARION VAN VALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
(503) 590-2584
Mailing address
12240 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 590-7346
(503) 590-2584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
OR
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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