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Individual

MRS. MARIA VINCIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4400 NE HALSEY ST BLDG 2, PROVIDENCE MEDICAL GROUP, SUITE 490, PORTLAND, OR 97213-1545
(503) 893-6906
Mailing address
19000 NW EVERGREEN PKWY APT 33, HILLSBORO, OR 97124-7005

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60240163
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013002
OR

Other

Enumeration date
08/21/2011
Last updated
08/03/2012
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