Provider Demographics
NPI:1972804078
Name:TRAYLOR-OAKES, NECEE JO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NECEE
Middle Name:JO
Last Name:TRAYLOR-OAKES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 SE KING RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5281
Mailing Address - Country:US
Mailing Address - Phone:503-659-1840
Mailing Address - Fax:503-652-1049
Practice Address - Street 1:4320 SE KING RD
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-5281
Practice Address - Country:US
Practice Address - Phone:503-659-1840
Practice Address - Fax:503-652-1049
Is Sole Proprietor?:No
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12084183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist