KIMBERLY MODENA LUETTGERODT

PORTLAND, OR
NPI1952679730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0012712)
Enumeration Date2011-12-07
Last Update Date2011-12-07
Business Address
-- KIMBERLY MODENA LUETTGERODT PharmD
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-7588
Mailing Address
-- KIMBERLY MODENA LUETTGERODT PharmD
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-7588
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