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Individual

MR. MICHAEL JOSEPH PEIZNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
16300SE EVELYN STREET, CLACKAMAS, OR 97015
(503) 305-9700
Mailing address
12072 SW WHISTLERS LOOP, TIGARD, OR 97223-2979
(503) 590-0517

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7113
OR

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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