Mr. KIRK THOMAS GATES --
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1356514145- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 12065 SW WALNUT ST, TIGARD, OR, 972233033
- Phone
- (360) 790-2293
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #T-0011752
Pharmacy Technician
License: WA #VA00057147