Individual
KENT R HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6495 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8486
(503) 848-4583
(503) 848-4577
Mailing address
6495 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8486
(503) 848-4583
(503) 848-4577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6607
OR
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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