Individual
JUSTIN CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 NW 6TH AVE FL 1, PORTLAND, OR 97209-3964
(503) 988-5267
Mailing address
3734 WILD ROSE LOOP, WEST LINN, OR 97068-7235
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT0006659
OR
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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