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Individual

DR. GABRIEL TUCKER BERTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2497 SE BURNSIDE RD, GRESHAM, OR 97080-1246
(503) 669-4233
Mailing address
2497 NE BURNSIDE RD, GRESHAM, OR 97080
(503) 669-4233

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0011399
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0011399
OR

Other

Enumeration date
02/21/2012
Last updated
04/27/2017
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