DANIEL WALLENSLAGER

PORTLAND, OR
NPI1881900215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0012265)
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
DR. DANIEL WALLENSLAGER PHARMD
1620 NE GRAND AVE
PORTLAND, OR 97232-1149
Phone number: 503-493-2715
Mailing Address
DR. DANIEL WALLENSLAGER PHARMD
1620 NE GRAND AVE
PORTLAND, OR 97232-1149
Phone number: