Individual
CHERYL WANDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2090
(503) 261-2040
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2090
(503) 261-2040
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0007672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0007672
OREGON PHARMACIST LICENSE
OR
Enumeration date
11/30/2016
Last updated
11/30/2016
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