IndividualActive
Mary Folan Laucka, PHARM.D.
NPI 1720220684 · Geriatric Pharmacist · Portland, OR
Provider details
- NPI number
- 1720220684
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0011523 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4560 Se International Way
Suite 101
Portland, OR 97222-4628
Phone: (971) 206-5202
Approximate (ZIP-level) locationGet directions
Mailing address
4560 Se International Way
Portland, OR 97222-4628
Registry dates
- Enumerated
- 2009-03-24
- Last updated
- 2009-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.