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Individual

MICHAEL KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4816 NW BETHANY BLVD, PORTLAND, OR 97229-9254
(503) 439-9014
Mailing address
2270 NW SAVIER ST APT 424, PORTLAND, OR 97210-3909
(415) 999-9018

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017234
OR

Other

Enumeration date
08/29/2020
Last updated
08/29/2020
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