William Broussard, RPH

NPI 1043217961 · on the registry since 2005

Practice

Address: 5415 Sw Beaverton Hillsdale Hwy
Portland, OR 97221
Phone: (503) 246-5077
Fax: (503) 246-3107
Organisation at this address: 1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon