Breedlove, Daniel Otto

Breedlove, Daniel Otto is an sole proprietor health care provider with primary practice located at 451 Ne 181St Ave , Portland OR 97230-6660. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Breedlove, Daniel Otto can be contacted via phone (503) 667-9878.

Contact Information

Primary practice address
451 Ne 181St Ave Portland OR 97230-6660
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0016816 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0016816 Oregon

Profile Details

NPI number 1639651185
LBN Legal business name Breedlove, Daniel Otto
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2018
Last updated Nov 1st, 2018 - about 6 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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