Individual
JULIE BLEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4250 SW PATRICK PL, PORTLAND, OR 97239-7203
(503) 756-1735
Mailing address
4250 SW PATRICK PL, PORTLAND, OR 97239-7203
(503) 756-1735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008245
OR
183500000X
Pharmacist
45337
CA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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