Individual
MARVIN CARL STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B. PHARM.
Contact information
Practice address
1010 SW JEFFERSON ST, PORTLAND, OR 97201-3425
(503) 205-1860
(503) 205-1849
Mailing address
3326 NE COUCH ST, PORTLAND, OR 97232-3233
(503) 233-7021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00011046
WA
183500000X
Pharmacist
Primary
RPH-0006937
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0006937
OR
Other
Enumeration date
10/25/2006
Last updated
03/15/2016
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