Individual
LANDON THOMAS DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 SW ALDER ST, PORTLAND, OR 97205-3616
(503) 226-6791
Mailing address
1415 SW ALDER ST APT 302, PORTLAND, OR 97205-1935
(406) 223-6469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015012
OR
Other
Enumeration date
10/02/2015
Last updated
10/06/2015
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