Individual
KALI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
315 SW 5TH AVE, PORTLAND, OR 97204-1703
(503) 416-7793
Mailing address
4427 SE RAMONA ST, PORTLAND, OR 97206-6251
(989) 284-2236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017175
OR
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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