Bliese, Kenneth Dalton

Bliese, Kenneth Dalton is an individual health care provider with primary practice located at 3303 Sw Bond Ave Ste 11501 , Portland OR 97239-4501. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Bliese, Kenneth Dalton can be contacted via phone (503) 418-9894.

Contact Information

Primary practice address
3303 Sw Bond Ave Ste 11501 Portland OR 97239-4501
Fax: (503) 418-9897
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0010020 Oregon
Pharmacy Service Providers / Pharmacy Technician 183700000X RPT47760 Florida

Profile Details

NPI number 1538611793
LBN Legal business name Bliese, Kenneth Dalton
Credentials CPHT, PRS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Nov 3rd, 2016 - about 8 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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