BILL-BERN BALTHAZARD
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1275129793- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1555 N TOMAHAWK ISLAND DR, PORTLAND, OR, 972177912
- Phone
- (503) 205-9110
Specialties & Taxonomies
Pharmacy Technician
License: WA #VA61112817
Pharmacy Technician
Primary License: OR #CPT-0012541