Individual
KATHRYN CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14700 SE DIVISION ST, PORTLAND, OR 97236-2335
(503) 762-4436
Mailing address
14700 SE DIVISION ST, PORTLAND, OR 97236-2335
(503) 762-4436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0013211
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH0013211
OR
Other
Enumeration date
05/13/2015
Last updated
04/20/2017
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