Individual
SARVENAZ MOHTASHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST (PHARM.D)
Contact information
Practice address
7700 NE AMBASSADOR PL, STE. 103, PORTLAND, OR 97220-1394
(503) 399-8148
Mailing address
7700 NE AMBASSADOR PL, STE. 103, PORTLAND, OR 97220-1394
(503) 399-8148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015779
OR
Other
Enumeration date
02/26/2015
Last updated
02/10/2025
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