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Individual

PETER ATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7145
(503) 413-6208
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7145
(503) 413-6208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017458
OR

Other

Enumeration date
01/22/2016
Last updated
10/18/2019
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