Individual
MR. WILLIAM JOHN BAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 B AVE, LAKE OSWEGO, OR 97034-3131
(503) 697-0990
Mailing address
44 CONDOLEA CT, LAKE OSWEGO, OR 97035-1002
(503) 636-9385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4819
OR
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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