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1326594037
MICHAELA I FOUTS
PORTLAND, OR
NPI
1326594037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: OR CPT-0005034)
Enumeration Date
2016-09-01
Last Update Date
2021-04-20
Business Address
MICHAELA I FOUTS CPHT
12360 SE BURNSIDE
PORTLAND, OR 97233
Phone number: 971-279-4800
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Mailing Address
MICHAELA I FOUTS CPHT
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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