Individual
ANDREA GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20011 QUINALT DR, OREGON CITY, OR 97045-8000
(541) 829-1820
Mailing address
20011 QUINALT DR, OREGON CITY, OR 97045-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013306
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0013306
OREGON BOARD OF PHARMACY
OR
Enumeration date
01/30/2014
Last updated
01/30/2014
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