Individual
USSAH MANYRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N SPRINGBROOK RD, NEWBERG, OR 97132-2007
(503) 538-7402
Mailing address
9441 SW 164TH AVE, BEAVERTON, OR 97007-9415
(503) 307-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008591
OR
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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