Individual
DR. ALEXA NICOLE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3036 NE MARTIN LUTHER KING JR BLVD STE 136, PORTLAND, OR 97212-3053
(035) 056-5995
Mailing address
4888 SW LAURELWOOD AVE, PORTLAND, OR 97225-1824
(360) 936-8393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019250
OR
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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