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Individual

RICK BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 308-3337
Mailing address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 308-3337

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0006898
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1777140
DRIVERS LICENSE
OR
Enumeration date
12/02/2016
Last updated
01/17/2020
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