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Individual

ERIC LEE SAULSBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 295-6480
(503) 295-6543
Mailing address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 295-6480
(503) 295-6543

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65851
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014124
OR

Other

Enumeration date
10/05/2011
Last updated
07/20/2016
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