Tara Michelle Wichterman

NPI #1427467075 in Saint Helens, Oregon

Provider Information

NPI Number
1427467075
Entity Type
Individual
Name
Tara Michelle Wichterman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 7, 2014
Last Updated
Aug 7, 2014

Practice Location

Address
1804 COLUMBIA BLVD
State
Oregon
ZIP Code
97051-1733
Phone
(503) 397-5555

Specialties & Taxonomy Codes

Specialty
Pharmacist

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