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Individual

CARRIE LYNNE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2900 HAWORTH AVE, NEWBERG, OR 97132-2000
(503) 538-0691
(503) 537-9179
Mailing address
2900 HAWORTH AVE, NEWBERG, OR 97132-2000
(503) 538-0691
(503) 537-9179

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7736
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7736
STATE PHARMACIST LICENSE
OR
Enumeration date
02/10/2012
Last updated
02/10/2012
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