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Individual

LAURA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
3550 N. INTERSTATE AVE, KAISER PERMANENTE EIN PHARMACY, PORTLAND, OR 97227-1097
(503) 249-6757
Mailing address
3550 N. INTERSTATE AVE, KAISER PERMANENTE EIN PHARMACY, PORTLAND, OR 97227-1097

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
8324
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8324
OR

Other

Enumeration date
09/07/2016
Last updated
12/09/2019
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