Individual
BRYSON KAMISATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 656-1461
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014922
OR
183500000X
Pharmacist
60582236
WA
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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