Individual
MARVIN WAYNE SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4816 NW BETHANY BLVD, PORTLAND, OR 97229-9254
(503) 439-9014
Mailing address
4816 NW BETHANY BLVD, PORTLAND, OR 97229-9254
(503) 439-9014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0017593
OR
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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