Individual
MARILYN BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12321 NE HALSEY ST, PORTLAND, OR 97230-1926
(503) 257-3138
Mailing address
12321 NE HALSEY ST, PORTLAND, OR 97230-1926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9976
OR
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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