MR. Brad Craig Boehme

NPI #1235559881 in Beaverton, Oregon

Provider Information

NPI Number: 1235559881
Entity Type: Individual
Name: MR. Brad Craig Boehme
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 22, 2014
Last Updated: Apr 22, 2014

Practice Location

Address: 9775 SW GEMINI DR
Address 2: STE 1
City: Beaverton
State: Oregon
ZIP Code: 97008-7148
Phone: (866) 202-4014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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