Bill-Bern Balthazard

Pharmacy Technician · Portland, OR

Individual Active NPI

NPI number 1275129793

Practice location

1555 N Tomahawk Island Dr
Portland, OR 97217-7912
Phone
(503) 205-9110

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NPI record

NPI
1275129793
Entity type
Individual (Type 1)
Enumeration date
December 18, 2020
Last updated
December 18, 2020
Certified
October 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Technician Primary 183700000X CPT-0012541 OR
Pharmacy Technician 183700000X VA61112817 WA

Mailing address

3250 NE Broadway St Apt 240
Portland, OR 97232-3462
Phone
(484) 274-1910

About Bill-Bern Balthazard

Bill-Bern Balthazard is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacy Technician (code 183700000X). The practice location is 1555 N Tomahawk Island Dr, Portland, OR 97217-7912. The NPI number 1275129793 was assigned on December 18, 2020 and the record was last updated on December 18, 2020.

Bill-Bern Balthazard lists 2 licenses in the registry: #CPT-0012541 (OR) for Pharmacy Technician; #VA61112817 (WA) for Pharmacy Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bill-Bern Balthazard?

The NPI number is 1275129793.

What is the phone number of Bill-Bern Balthazard?

The phone number listed for the practice location is (503) 205-9110.

Where is Bill-Bern Balthazard located?

1555 N Tomahawk Island Dr, Portland, OR 97217-7912.

What is the taxonomy code for Bill-Bern Balthazard?

The primary taxonomy code is 183700000X – Pharmacy Technician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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