Individual
BLAS AGUERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
15 NW PARK AVE APT 202, PORTLAND, OR 97209-4171
(817) 703-6129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020163
OR
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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