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

Mr. William Fred Broussard, RPH

Individual provider Pharmacist · NPI 1043217961

Mr. William Fred Broussard, RPH is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5415 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1918
Phone: (503) 246-5077
Fax: (503) 246-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 6521 (OR)

Record details

NPI number1043217961
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 8, 2007

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