Individual
ADA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1111 NE 102ND AVE, PORTLAND, OR 97220-3902
(503) 255-5494
Mailing address
9934 SE GLADSTONE CT, PORTLAND, OR 97266-2755
(503) 984-8690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0017997
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017997
OR
Other
Enumeration date
08/24/2020
Last updated
08/31/2020
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