Individual
WILDER MCANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16800 SE EVELYN ST, CLACKAMAS, OR 97015-9512
(503) 656-1461
Mailing address
3944 SW CONDOR AVE, PORTLAND, OR 97239-4104
(808) 469-2684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014976
OR
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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