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Individual

VAL M DEVOGELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
17979 NE GLISAN ST, PORTLAND, OR 97230
(503) 231-0253
Mailing address
4225 CORNWALL ST, WEST LINN, OR 97068-3705
(503) 804-1906

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0006437
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0006437
OR

Other

Enumeration date
09/04/2009
Last updated
09/01/2016
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