Individual
GAYLE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 MOLALLA AVE, OREGON CITY, OR 97045-4064
(503) 657-3187
(503) 655-8031
Mailing address
1813 MOLALLA AVE, OREGON CITY, OR 97045-4064
(503) 657-3187
(503) 655-8031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0005859
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0005859
STATE PHARMACIST LICENSE
OR
Enumeration date
02/11/2012
Last updated
02/11/2012
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