Individual
CARLY SHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 460-5886
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 460-5886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018782
OR
Other
Enumeration date
03/24/2021
Last updated
12/06/2022
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