Individual
MR. RYAN J BICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PHARMACY, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1416 NE 16TH AVE, PORTLAND, OR 97232-4427
(303) 859-5458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17073
PHARMACIST LICENSE
CO
Enumeration date
05/02/2006
Last updated
02/03/2015
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