Individual
MRS. BRENDA LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15685 SW 116TH AVE, PORTLAND, OR 97224-2651
(503) 639-7377
(503) 620-2167
Mailing address
16255 NE LEANDER DR, SHERWOOD, OR 97140-8578
(503) 639-7377
(503) 620-2167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007737
OR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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