Drew Larson

NPI #1992255657 in Portland, Oregon

Provider Information

NPI Number: 1992255657
Entity Type: Individual
Name: Drew Larson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 4315 SE WOODSTOCK BLVD
City: Portland
State: Oregon
ZIP Code: 97206-6269
Phone: (503) 771-1881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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