-- KALALO HUMENGO ASKADI LOVE --
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1508286766- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 727 W BURNSIDE ST, PORTLAND, OR, 972093514
- Phone
- (503) 228-4533
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #T-0019099