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1770788077
CARL HEISEL
PORTLAND, OR
NPI
1770788077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist Pharmacotherapy
(Licence: OR 6146)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
CARL HEISEL R.PH, BCPS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-4290
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Mailing Address
CARL HEISEL R.PH, BCPS
5810 SW LURADEL CT
PORTLAND, OR 97219-5780
Phone number:
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