Individual
SHAWNTESSA LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 295-6480
Mailing address
1111 W COLUMBIA WAY APT 740, VANCOUVER, WA 98660-3621
(605) 430-7621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019065
OR
183500000X
Pharmacist
61311154
WA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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