Individual
MS. AMANDA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
940 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4316
(503) 238-6053
Mailing address
940 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4316
(503) 238-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009228
OR
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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