Mrs Tracy L Fentress, RPH | |
9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | |
(888) 202-4014 | |
Not Available |
Full Name | Mrs Tracy L Fentress |
---|---|
Gender | Female |
Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
Location | 9775 Sw Gemini Dr, Beaverton, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477786788 | NPI | - | NPPES |
NA | Other | NA | |
12341 | Other | NOT SURE | |
12341 | Other | PHARMACY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 8796 (Oregon) | Secondary |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 8796 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy L Fentress, RPH 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 Ph: () - | Mrs Tracy L Fentress, RPH 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 Ph: (888) 202-4014 |
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