Individual
ANGELYNN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 674-4704
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
7956
OR
Other
Enumeration date
10/03/2016
Last updated
04/28/2020
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