Gary M Balo is a Pharmacist in Portland, Oregon. Gary M Balo practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Gary M Balo is 1801929609. The last update date is 2007-07-08.
Gary M Balo's current location address is 4246 Ne Sandy Blvd, Portland, Oregon. You can contact this provider via phone number 5032871163 and fax number 5032822281. The mailing address for Gary M Balo is 4246 Ne Sandy Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Balo |
|---|---|
| Address | 4246 Ne Sandy Blvd, Portland, Oregon |
| Phone Number | 5032871163 |
| Fax Number | 5032822281 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1801929609 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4246 Ne Sandy Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972131432 |
| Phone Number | 5032871163 |
| Fax Number | 5032822281 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5480 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5480 | OR | STATE LISCENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary M Balo by the Centers for Medicare & Medicaid Services?
The Gary M Balo has been assigned the NPI (National Provider Identifier) 1801929609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Gary M Balo?
The Gary M Balo is physically situated at 4246 Ne Sandy Blvd, in the city of Portland, state of OR, with the postal code 972131432.
What is Gary M Balo's area of expertise and its corresponding taxonomy classification?
The Gary M Balo's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When was the Gary M Balo's 1801929609 issued?
The Gary M Balo's 1801929609 was issued on 2007-03-13.
When was the information related to Gary M Balo most recently updated or refreshed?
The details pertaining to the Gary M Balo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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