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-- MARK ALLEN BIBO -- RPH

Individual Provider (NPI-1) Active

Pharmacist

Provider Information

NPI Number
1801807359
Provider Type
Individual Provider (NPI-1)
Credentials
RPH
Status
Active

Contact & Location

Address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR, 972392964
Phone
(503) 220-8262

Specialties & Taxonomies

Pharmacist Primary License: MT #3195

All Addresses

MAILING

192 SE ANDERSON LN

GRESHAM, OR, 970801997

LOCATION

3710 SW US VETERANS HOSPITAL RD

PORTLAND, OR, 972392964

(503) 220-8262