DESTINY LE

PORTLAND, OR
NPI1356697957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0010394)
Enumeration Date2012-08-01
Last Update Date2012-08-01
Business Address
-- DESTINY LE
3527 SE 122ND AVE
PORTLAND, OR 97236-3401
Phone number: 503-760-6688
Mailing Address
-- DESTINY LE
3527 SE 122ND AVE
PORTLAND, OR 97236-3401
Phone number: