| NPI | 1891853552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE L ROSENBERG Phamacist In Charge 503-445-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0002196CS) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OR RP0002196CS) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |