Individual
SHANE R ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
17275 NW CORNELL RD, BEAVERTON, OR 97006-3297
(503) 207-7632
(503) 207-7628
Mailing address
110 NE 172ND AVE, PORTLAND, OR 97230-6404
(503) 791-9879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013498
OR
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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