SearchOregon183500000X

Anthony Defazio, RPH

NPI 1750654968 · on the registry since 2012 · sole proprietor

Practice

Address
17108 Se Powell Blvd
Portland, OR 97236
Phone
(503) 667-5377
Fax
(503) 666-9257

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
2012-02-17

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