Tami (thao) T Fonseca RPH

NPI 1215110143 - Pharmacist - 183500000X

NPI Details
NPI 1215110143
Gender Female
Enumeration Date 12/13/2007
Last Updated 12/13/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
5717 NE 138TH AVE
PORTLAND OR, 97230-3409, US
Phone (503) 261-7541
Fax
Business Location
5717 NE 138TH AVE
PORTLAND OR, 97230-3409, US
Phone (503) 261-7541
Fax
Toxanomy
Taxonomy Code 183500000X
License State Washington
License Number PH00039387
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According to our database, Mrs. Tami (thao) T Fonseca RPH NPI is 1215110143, taxonomy code is 183500000X and license number is PH00039387, license state is located at Washington. Tami (thao) T Fonseca RPH physically located at 5717 Ne 138th Ave, Portland OR, 97230-3409. NPI Number Tami (thao) T Fonseca RPH has the Individual type.

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1215110143 NPI number is provided on an as is basis without warranty of any kind. 1215110143 is maintained by the National Plan & Provider Enumeration System. The contents of Tami (thao) T Fonseca RPH are for informational purposes only.