MEDICARE: PATRICIA POSTEUCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	550107010172228	OR

General Provider Information

NPI Number	:	1568750990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA POSTEUCA

Provider Business Mailing Address
First Line	:	2602 ARBOR DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-1104
Country	:	US
Telephone Number	:	503-756-4919
Fax Number	:	503-699-7633

Provider Business Practice Location Address
First Line	:	2602 ARBOR DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-1104
Country	:	US
Telephone Number	:	503-756-4919
Fax Number	:	503-699-7633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	07/19/2011

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Directions to “ PATRICIA POSTEUCA ” Practice Location

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