Balthazard, Bill-Bern
Balthazard, Bill-Bern is an individual health care provider with primary practice located at 1555 N Tomahawk Island Dr , Portland OR 97217-7912. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Balthazard, Bill-Bern can be contacted via phone (503) 205-9110.Contact Information
Primary practice address
1555 N Tomahawk Island Dr
Portland OR 97217-7912
Phone: (503) 205-9110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | VA61112817 | Washington |
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | CPT-0012541 | Oregon |
Profile Details
| NPI number | 1275129793 |
|---|---|
| LBN Legal business name | Balthazard, Bill-Bern |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2020 |
| Last updated | Dec 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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