Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bill-Bern Balthazard

Individual provider Pharmacy Technician · NPI 1275129793

Bill-Bern Balthazard is a Pharmacy Technician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2020.

Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1555 N Tomahawk Island Dr
Portland, OR 97217-7912
Phone: (503) 205-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence CPT-0012541 (OR)
Pharmacy Technician Taxonomy 183700000X · Licence VA61112817 (WA)

Record details

NPI number1275129793
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2020
Last updated in NPPESDecember 18, 2020
Certification dateOctober 28, 2020
Mailing address3250 Ne Broadway St Apt 240, Portland, OR 97232-3462

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