Mr. KENNETH DALTON BLIESE -- CPhT, PRS
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1538611793- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPhT, PRS
- Status
- Active
Contact & Location
- Address
- 3303 SW BOND AVE STE 11501, PORTLAND, OR, 972394501
- Phone
- (503) 418-9894
- Fax
- (503) 418-9897
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #CPT-0010020
Pharmacy Technician
License: FL #RPT47760