JESSE PARIS GORMAN
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1730877481- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11190 SW BARNES RD, PORTLAND, OR, 972255372
- Phone
- (503) 528-9121
- Fax
- (503) 628-4802
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #0011735