Broussard, Marlon Joseph

Broussard, Marlon Joseph is an sole proprietor health care provider with primary practice located at 501 N Graham St , Portland OR 97227-1654. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Broussard, Marlon Joseph can be contacted via phone (503) 413-4225.

Contact Information

Primary practice address
501 N Graham St Portland OR 97227-1654
Phone: (503) 413-4225
Fax: (503) 413-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0011134 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11134 Oregon

Profile Details

NPI number 1508145996
LBN Legal business name Broussard, Marlon Joseph
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2011
Last updated Jan 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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