Individual
BRANDON L. MATACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3326 SW MARQUAM HILL RD UNIT B, PORTLAND, OR 97239-1493
(330) 720-7202
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
03237246
OH
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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