Individual
REBECCA BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 974-5058
Mailing address
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9758
(503) 974-5058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013084
OR
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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