Andrea Lane, PHARM.D

NPI #1033542964 in Portland, Oregon

Provider Information

NPI Number: 1033542964
Entity Type: Individual
Name: Andrea Lane, PHARM.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Aug 14, 2013
Last Updated: Aug 14, 2013

Practice Location

Address: 12525 NW CORNELL RD
City: Portland
State: Oregon
ZIP Code: 97229-5617
Phone: (503) 646-3438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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