TERRI LEE FAGAN

MILWAUKIE, OR
NPI1134131212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0008961)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
Ms. TERRI LEE FAGAN RPh, CGP
4560 SE INTERNATIONAL WAY SUITE 101
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5205
Mailing Address
Ms. TERRI LEE FAGAN RPh, CGP
1834 SE 47TH AVE
PORTLAND, OR 97215-3208
Phone number: 503-243-5192
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