Individual
MISS COURTNEY LEE LUCHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2800 SE HAWTHORNE BLVD, PORTLAND, OR 97214-2945
(503) 232-3930
(503) 232-3715
Mailing address
2121 SE BELMONT ST, APT 214, PORTLAND, OR 97214-2898
(503) 232-3930
(503) 232-3715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9672
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9672
OR
Other
Enumeration date
01/13/2011
Last updated
12/26/2015
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