Individual
LAURIE B MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6256 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 244-7582
Mailing address
6256 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 244-7582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00006528
OR
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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