IndividualActive
Gary Bold, RPH
NPI 1356595656 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Canby, OR
Provider details
- NPI number
- 1356595656
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- RPH-0005847 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1080 Sw 1st Ave
Canby, OR 97013-3828
Phone: (503) 263-1600
Approximate (ZIP-level) locationGet directions
Mailing address
1080 Sw 1st Ave
Canby, OR 97013-3828
Registry dates
- Enumerated
- 2008-11-13
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.