Individual
MRS. NICOLLE KING DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
20605 SW PRINDLE RD, TUALATIN, OR 97062-9701
(503) 358-2962
Mailing address
20605 SW PRINDLE RD, TUALATIN, OR 97062-9701
(503) 358-2962
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
20017
WA
1835G0303X
Geriatric Pharmacist
Primary
8598
OR
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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