Individual
DR. ANDREW PORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1270 KOT-NUM ROAD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
Mailing address
1270 KOT-NUM ROAD, PO BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-1196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8362043-1701
UT
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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