Individual
RICHARD IKAIKA RENAUD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NE BROADWAY ST, PORTLAND, OR 97232-1232
(503) 528-0506
Mailing address
1100 NE BROADWAY ST, PORTLAND, OR 97232-1232
(503) 528-0506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020406
OR
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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