Individual
DR. ALYSSA N CLINKENBEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1064
Mailing address
0308 SW MONTGOMERY AVE, #509, PORTLAND, OR 97201
(406) 239-0754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5031
MT
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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