Individual
GREGORY TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3246
Mailing address
2730 SW MOODY AVE, MAIL CODE CL5CP, PORTLAND, OR 97201-5042
(503) 494-3246
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
22046
IA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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