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1205594025
NATHAN B JOHNSON
PORTLAND, OR
NPI
1205594025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0011420)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
NATHAN B JOHNSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8007
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Mailing Address
NATHAN B JOHNSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8007
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