GARY LEE HALBASCH

PORTLAND, OR
NPI1730668021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201709227)
Enumeration Date2018-08-08
Last Update Date2018-08-08
Business Address
GARY LEE HALBASCH LPN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-239-8101
Mailing Address
GARY LEE HALBASCH LPN
424 NE 22ND AVE
PORTLAND, OR 97232-2876
Phone number: 503-239-8101
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