Individual
BRAD S FUJISAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE; CR 9-4, PORTLAND, OR 97239-3011
(503) 494-8007
Mailing address
9208 SW IVORY ST, BEAVERTON, OR 97007-8686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9815
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9815
OR
1835P1200X
Pharmacotherapy Pharmacist
9815
OR
Other
Enumeration date
06/09/2006
Last updated
12/18/2015
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