KELSEY WALLACE

CAMAS, WA
NPI1508098914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  00070414)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  RPH-0011606)
183500000X Pharmacist
(Licence: OR  RPH-0011606)
Enumeration Date2009-08-18
Last Update Date2019-05-20
Business Address
KELSEY WALLACE PharmD
522 NW 24TH CIR
CAMAS, WA 98607
Phone number: 360-904-6581
Mailing Address
KELSEY WALLACE PharmD
2335 NW RALEIGH ST UNIT 421
PORTLAND, OR 97210-3731
Phone number: