Individual
HUGLYN D BALASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
940 SE 39TH AVE, PORTLAND, OR 97214-4316
(503) 238-6053
Mailing address
940 SE 39TH AVE, PORTLAND, OR 97214-4316
(503) 238-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013348
OR
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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