Individual
JESSICA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12675 NW CORNELL RD, PORTLAND, OR 97229-5886
(503) 495-3740
Mailing address
1061 NE 9TH AVE APT 1529, PORTLAND, OR 97232-3501
(937) 243-7023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019660
OR
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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