NPI 1356514145

Kirk Thomas Gates

Practitioner Pharmacy Technician Tigard, OR

Practice location

Address: 12065 SW Walnut St, Tigard, OR 97223-3033
Phone: (360) 790-2293

Registered specialties (2)

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence T-0011752 (OR)

Other Pharmacy Technician providers in Oregon →

Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence VA00057147 (WA)

Registry record

NPI: 1356514145
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2008
Record last updated: 11 Apr 2008

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.