Individual
CORY GEURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2305
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2305
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0001192
OR
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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