Individual
DYLAN HUNTER SUNDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT, CCMA
Contact information
Practice address
1555 N TOMAHAWK ISLAND DR, PORTLAND, OR 97217-7912
(503) 205-9110
Mailing address
7150 SW BEL AIRE DR, BEAVERTON, OR 97008-5932
(503) 608-2706
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0013212
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPT-0013212
OREGON BOARD OF PHARMACY
OR
Enumeration date
07/16/2021
Last updated
07/16/2021
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