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Individual

MR. DOUGLAS WAYNE SAUVAGEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
13500 SW PACIFIC HWY, 70, TIGARD, OR 97223-4804
(503) 624-0713
(503) 639-4011
Mailing address
13500 SW PACIFIC HWY, 70, TIGARD, OR 97223-4804
(503) 624-0713
(503) 639-4011

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7779
OR

Other

Enumeration date
02/12/2012
Last updated
02/12/2012
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