Individual
ALICE CRISTINA PISTORESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7580
Mailing address
10704 NE 25TH PL, VANCOUVER, WA 98686-4709
(206) 617-7545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH61446198
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0019676
OR
Other
Enumeration date
08/04/2023
Last updated
09/11/2023
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