Individual
KENT BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20800 SW 115TH AVE # 100, TUALATIN, OR 97062-6863
(503) 906-6831
Mailing address
20800 SW 115TH AVE # 100, TUALATIN, OR 97062-6863
(503) 906-6831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7146
OR
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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