Individual
MARK AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23010 E SETTLER DRIVE, SPOKANE, WA 99019
(509) 435-7468
Mailing address
PO BOX 230969, PORTLAND, OR 97281-0969
(509) 435-7468
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH00018737
WA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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