EBISA DERESSA

PORTLAND, OR
NPI1003224064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  13751)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- EBISA DERESSA
1123 N HAYDEN MEADOWS DR
PORTLAND, OR 97217-7547
Phone number: 503-205-6661
Mailing Address
-- EBISA DERESSA
1123 N HAYDEN MEADOWS DR
PORTLAND, OR 97217-7547
Phone number: 503-205-6661
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