Individual
DR. JOSEPH STEPHEN BUBALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8007
Mailing address
4535 SW TARLOW CT, PORTLAND, OR 97221-3681
(503) 956-9791
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
0008150
OR
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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