NPI 1003161944

Yevgeny Bulochnik, PHARMD

Practitioner Pharmacist Portland, OR

Practice location

Address: 9205 SW Barnes Rd, Portland, OR 97225-6603
Phone: (503) 216-3299
Mailing address: 3939 SW Bond Ave APT 602, Portland, OR 97239-4695

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0013167 (OR)

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Registry record

NPI: 1003161944
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2012
Record last updated: 17 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.