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Individual

SHARON SUE MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
939 SW MORRISON ST, PORTLAND, OR 97205-2727
(503) 290-5362
Mailing address
1447 NW 12TH AVE APT 630, PORTLAND, OR 97209-2677
(405) 659-6274

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18047
OR

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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