Individual
ERIC PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4228
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9988
OR
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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