Most Relevant Information
Provider Data
| NPI Number: | 1003345273 |
| Provider Name: | SUSAN LEIGH MALULANI FEDLER PGY1 |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PI-0011714 |
Most Important Dates
| Enumeration Date: | 06/09/2017 |
| Last Updated: | 06/09/2017 |
Provider Practice Location
226 SE 8TH AVE
HILLSBORO
OR
971234218
Practice Location Phone/Fax
| Phone: | 5036017385 |
| Fax: |
Provider Mailing Location
PO BOX 6149
ALOHA
OR
970070149
Provider Mailing Phone/Fax
| Phone: | 5033528642 |
| Fax: |