IndividualActive
Jesse Gorman
NPI 1730877481 · Pharmacy Technician · Portland, OR
Provider details
- NPI number
- 1730877481
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0011735 (OR)
Practice location
11190 Sw Barnes Rd
Portland, OR 97225-5372
Phone: (503) 528-9121
Fax: (503) 628-4802
Mailing address
11190 Sw Barnes Rd
Portland, OR 97225-5372
Registry dates
- Enumerated
- 2023-04-28
- Last updated
- 2023-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.