Individual provider · NPI-1

Stacy Martini, PharmD

Pharmacist · Wood Village, OR

NPI number1780136382
StatusActive
Last updated in NPPESOct 30, 2016

Details

NPI
1780136382
Entity type
Individual (NPI-1)
Name
Stacy Martini
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2016
Last updated
Oct 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistrph-0015638ORYes

Practice location

22855 Ne Park Ln
Wood Village, OR 97060-2606

Phone 503-492-5033

Mailing address

18815 Ne Clackamas St
Portland, OR 97230-7138

Phone 971-678-5045

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