Individual
ERICK MATTHEW ALSVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16200 NE GLISAN ST, PORTLAND, OR 97230-5833
(503) 251-8995
Mailing address
16200 NE GLISAN ST, PORTLAND, OR 97230-5833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011555
OR
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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