Individual
BRANDI STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
3527 SE 122ND AVE, PORTLAND, OR 97236-3401
(503) 760-6688
Mailing address
6616 SE STEELE ST, PORTLAND, OR 97206-5324
(503) 830-3910
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0001450
OR
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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