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Shellie Weatherspoon

Pharmacist, Ambulatory Care in Portland, OR. Individual provider (NPI-1).

NPI number1477901643
StatusActive
Last updated in NPPESMay 29, 2016

Details

NPI
1477901643
Entity type
Individual (NPI-1)
Name
Shellie Weatherspoon
Sex
Female
Sole proprietor
No
Enumeration date
May 29, 2016
Last updated
May 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P2201X Pharmacist, Ambulatory Care0008580ORYes

Practice location

1040 Nw 22nd Ave Ste 100
Portland, OR 97210-3036

Phone 503-413-8122

Mailing address

1040 Nw 22nd Ave Ste 100
Portland, OR 97210-3036

Phone 503-413-8122

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