JACOB DOUGLAS BURGIS

TUALATIN, OR
NPI1225851934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0020309)
Enumeration Date2024-11-02
Last Update Date2024-11-02
Business Address
JACOB DOUGLAS BURGIS RPH
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062-6357
Phone number: 503-691-4233
Mailing Address
JACOB DOUGLAS BURGIS RPH
11671 SW TEAL BLVD APT G
BEAVERTON, OR 97007-8248
Phone number: 661-349-5721