Individual
CORINNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7541
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60086941
WA
183500000X
Pharmacist
Primary
RPH0011768
OR
Other
Enumeration date
07/20/2009
Last updated
07/01/2016
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