Individual
DR. LINDSEY W ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
940 SE 39TH AVE, PORTLAND, OR 97214-4316
(503) 238-6053
(503) 238-6326
Mailing address
940 SE 39TH AVE, PORTLAND, OR 97214-4316
(503) 238-6053
(503) 238-6326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011051
OR
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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