Individual
MS. BRENDA LANE SAUVAGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13485 NW CORNELL RD, PORTLAND, OR 97229-5819
(503) 350-2086
(503) 350-2089
Mailing address
13485 NW CORNELL RD, PORTLAND, OR 97229-5819
(503) 350-2086
(503) 350-2089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7745
OR
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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