Individual
DR. ERIC WILLIAM BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PHARMP6, PORTLAND, OR 97239-2964
(541) 550-5490
Mailing address
2114 SW SALMON AVE APT 2, REDMOND, OR 97756-9667
(541) 550-5490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014298
OR
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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