TINA MARIE GANT
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1467147629- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 514 NE 181ST AVE, PORTLAND, OR, 972306702
- Phone
- (503) 661-6991
- Fax
- (503) 661-0615
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #cpt0009907