Individual
LEONARD MATEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1821 NE 33RD AVE, PORTLAND, OR 97212-5113
(503) 535-6031
(503) 946-3854
Mailing address
1821 NE 33RD AVE, PORTLAND, OR 97212-5113
(503) 535-6031
(503) 946-3854
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0015031
OR
183700000X
Pharmacy Technician
VB-61354257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPT-0015031
CERTIFIED OREGON PHARMACY TECHNICIAN
OR
01
—
VB-61354257
CERTIFIED PHARMACY TECHNICIAN
WA
Enumeration date
11/01/2022
Last updated
03/14/2024
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