Individual
BRANDON COLE TOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 SW HARRISON ST, PORTLAND, OR 97201-5364
(503) 327-0234
Mailing address
77 NW HERMOSA BLVD, PORTLAND, OR 97210-3841
(863) 673-6640
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0019303
OR
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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