Individual
AMANDA RUTH NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2497 SE BURNSIDE RD, GRESHAM, OR 97080-1246
(503) 669-4233
(503) 669-4238
Mailing address
19864 SOPHIA CT, OREGON CITY, OR 97045-7569
(971) 230-4108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 60546107
WA
183500000X
Pharmacist
RPH - 0014810
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014810
OR
Other
Enumeration date
04/16/2012
Last updated
04/19/2017
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