Individual
YEVGENY BULOCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-3299
Mailing address
3939 SW BOND AVE APT 602, PORTLAND, OR 97239-4695
(952) 465-2565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013167
OR
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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