Individual
KATHERE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NE HALSEY ST STE 490, PORTLAND, OR 97213-1545
(503) 893-6900
Mailing address
1720 SW 4TH AVE APT 1112, PORTLAND, OR 97201-5553
(949) 310-4778
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PI-0014419
OR
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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