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Individual

INGRID LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
203 PHARMACY BLDG, CORVALLIS, OR 97331-8537
(541) 737-3424
Mailing address
15075 NW DECATUR WAY, PORTLAND, OR 97229-8940
(503) 869-0793

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI-0014356
OR

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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