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Individual

DEVON FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PPV 350, PORTLAND, OR 97239-3011
(503) 418-9780
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PPV 350, PORTLAND, OR 97239-3011
(503) 418-9780
(503) 418-5505

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0011018
OR
1835P1200X
Pharmacotherapy Pharmacist
PHA-17160
CO

Other

Enumeration date
03/15/2011
Last updated
03/15/2011
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