Individual
VANESSA LEIGH DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8145 SW BARBUR BLVD, PORTLAND, OR 97219-2849
(503) 452-6212
Mailing address
2250 NW KEARNEY ST UNIT 208, PORTLAND, OR 97210-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018571
PHARMACY LICENSE
OR
Enumeration date
09/24/2021
Last updated
09/24/2021
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