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Individual

ZACHARY KORSTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4560 SE INTERNATIONAL WAY STE 101, PORTLAND, OR 97222-4628
(817) 343-2292
Mailing address
940 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4316

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014986
OR

Other

Enumeration date
09/15/2015
Last updated
08/05/2024
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