Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARLON JOSEPH BROUSSARD, PHARM D
Active Sole ProprietorPharmacist Clinician (PhC) · PORTLAND, OR
Registration Details
- NPI Number
- 1508145996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2011 (14.686348126983 yrs)
- Last Updated
- Jan 22, 2016
- Licenses
-
RPH-0011134 (OR)11134 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 N GRAHAM STPORTLAND, OR, 972271654Browse OR providers · Browse ZIP 97227
- Phone
- 5034134225
- Fax
- 5034134515
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. EDYTH ADELE WILLARD | PHARM D | 1154328664 |
| MS. JENNIFER BECKHAM MCELRAVEY | RPH | 1316948276 |
| BRAD S FUJISAKI | PHARMD | 1679514665 |
| JILL LOUISE MCCLELLAN | PHARM.D. | 1720196231 |
| TRUONG T VO | PHARM.D. | 1497842447 |
| ERIC HUYNH | PHARM. D. | 1780769000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.