Individual
DR. RITCHIE LONGORIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
622 SW ALDER ST, PORTLAND, OR 97205-3616
(503) 226-6791
Mailing address
4624 NE 15TH AVE, PORTLAND, OR 97211-5028
(901) 604-2260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011105
OR
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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