Individual
LAUREN CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BASELINE ST, CORNELIUS, OR 97113-8618
(503) 359-3103
Mailing address
2200 BASELINE ST, CORNELIUS, OR 97113-8618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015554
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0015554
OR
Other
Enumeration date
10/03/2016
Last updated
04/27/2017
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