Individual
MS. MICHELLE LYNN MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6917
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010812
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0010812
OR
Other
Enumeration date
10/23/2010
Last updated
04/29/2020
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