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Individual

AUSTIN PLISKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
412 A AVE STE 200, LAKE OSWEGO, OR 97034-3078
(503) 635-2496
(503) 635-2497
Mailing address
15272 SW MILLIKAN WAY APT 433, BEAVERTON, OR 97003-6610

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016296
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
0016296
OR

Other

Enumeration date
10/05/2017
Last updated
12/17/2019
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