Individual
JUILENE MICHELLE BRUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3990
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011091
OR
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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