IndividualActive
Bill-Bern Balthazard
NPI 1275129793 · Pharmacy Technician · Portland, OR
Provider details
- NPI number
- 1275129793
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- VA61112817 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1555 N Tomahawk Island Dr
Portland, OR 97217-7912
Phone: (503) 205-9110
Approximate (ZIP-level) locationGet directions
Mailing address
3250 Ne Broadway St Apt 240
Portland, OR 97232-3462
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.