Individual
SUSAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15865 SE TOTEM PEAK LN, MILWAUKIE, OR 97267-5280
(503) 318-7320
Mailing address
15865 SE TOTEM PEAK LN, MILWAUKIE, OR 97267-5280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007815
OR
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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