Most Relevant Information
Provider Data
| NPI Number: | 1003363797 |
| Provider Name: | CLARA MIKHAEIL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P2201X |
| Specialty: | Pharmacist |
| License Number: | 0014866 |
Most Important Dates
| Enumeration Date: | 09/09/2016 |
| Last Updated: | 09/09/2016 |
Provider Practice Location
4400 NE HALSEY ST
BUILDING 2 SUITE 490
PORTLAND
OR
972131545
Practice Location Phone/Fax
| Phone: | 5038936900 |
| Fax: |
Provider Mailing Location
4400 NE HALSEY ST
BUILDING 2 SUITE 490
PORTLAND
OR
972131545
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |