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1881900215
DANIEL WALLENSLAGER
PORTLAND, OR
NPI
1881900215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0012265)
Enumeration Date
2010-08-23
Last Update Date
2010-08-23
Business Address
DR. DANIEL WALLENSLAGER PHARMD
1620 NE GRAND AVE
PORTLAND, OR 97232-1149
Phone number: 503-493-2715
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Mailing Address
DR. DANIEL WALLENSLAGER PHARMD
1620 NE GRAND AVE
PORTLAND, OR 97232-1149
Phone number:
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