Lawrence Lee Martin, R.PH.

NPI #1043620768 in Portland, Oregon

Provider Information

NPI Number: 1043620768
Entity Type: Individual
Name: Lawrence Lee Martin, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: May 2, 2014
Last Updated: May 2, 2014

Practice Location

Address: 16100 SW 72ND AVE
City: Portland
State: Oregon
ZIP Code: 97224-7745
Phone: (503) 626-9436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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