Individual
ASHLEY NICOLE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1215 W 6TH ST, THE DALLES, OR 97058-3585
(541) 296-1748
Mailing address
1215 W 6TH ST, THE DALLES, OR 97058-3585
(541) 296-1748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016840
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0016840
OREGON BOARD OF PHARMACY
OR
Enumeration date
10/05/2018
Last updated
10/05/2018
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