# TOMIN BASRAI, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paulsen's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013949502
- **Authorized official:** MR. GURPARTAP S BASRAI PHARMD (PRESIDENT/OWNER)
- **Authorized official phone:** (510) 468-2217

## Contact information

- **Practice address:** 4246 NE SANDY BLVD, PORTLAND, OR 97213-1432
- **Practice address phone:** (503) 287-1163
- **Practice address fax:** (503) 282-2281
- **Mailing address:** 4246 NE SANDY BLVD, PORTLAND, OR 97213-1432
- **Mailing address phone:** (503) 287-1163
- **Mailing address fax:** (503) 282-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00413 | OR | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 05/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 157107 | — | OR |
| 05 | — | 269109 | — | OR |