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Individual

DR. SAMUEL WEST BAYNES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
17255 NW CORNELL RD, BEAVERTON, OR 97006-3297
(503) 207-7632
(503) 207-7628
Mailing address
17255 NW CORNELL RD, BEAVERTON, OR 97006-3297
(503) 207-7632
(503) 207-7628

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60766529
WA

Other

Enumeration date
09/07/2017
Last updated
07/21/2022
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