Individual
MS. FREDA HOWELL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
12525 NW CORNELL RD, PORTLAND, OR 97229-5617
(503) 646-3438
(503) 626-0239
Mailing address
12525 NW CORNELL RD, PORTLAND, OR 97229-5617
(503) 646-3438
(503) 626-0239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0007290
STATE OF OREGON BOARD OF PHARMACY
OR
Enumeration date
09/16/2009
Last updated
09/16/2009
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