Individual
JORDIANNE ORALLO BALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16029 NW JOSCELYN ST, BEAVERTON, OR 97006-7261
(971) 221-6094
Mailing address
16029 NW JOSCELYN ST, BEAVERTON, OR 97006-7261
(971) 221-6094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11198
OR
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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