MICHAELA FOUTS
Pharmacy in Portland, OR

License number
Oregon CPT-0005034
Category
Pharmacy
Type
Pharmacy Technician
License number
Oregon 08-12-160
Category
Pharmacy
Type
Pharmacy Technician
Address
Address 2
12360 SE BURNSIDE, Portland, OR 97233
441 W Gloucester St, Gladstone, OR 97027
Phone
(971) 279-4800
(971) 279-2763 (Fax)
(503) 516-2110
National Provider ID: 1326594037
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Michaela Fouts, age 63
4400 SE Naef Rd APT F33, Portland, OR 97267
Michaela I Fouts, age 63
1 Jefferson Pkwy, Lake Oswego, OR 97035
(503) 636-8340
Michaela I Fouts, age 63
3948 Carman Dr, Lake Oswego, OR 97035
(503) 534-3074

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