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1922405919
ERIC WILLIAM BALLEW
PORTLAND, OR
NPI
1922405919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0014298)
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
Dr. ERIC WILLIAM BALLEW Pharm.D.
3710 SW US VETERANS HOSPITAL RD PHARMP6
PORTLAND, OR 97239-2964
Phone number: 541-550-5490
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Mailing Address
Dr. ERIC WILLIAM BALLEW Pharm.D.
2114 SW SALMON AVE APT 2
REDMOND, OR 97756-9667
Phone number: 541-550-5490
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