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1609240902
LISA NELSON
PORTLAND, OR
NPI
1609240902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 00012310)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
-- LISA NELSON
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
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Mailing Address
-- LISA NELSON
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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