- Practice location
- 5415 SW Beaverton Hillsdale Hwy, Portland, OR 97221-1918
- Phone
- 503-246-5077
- Fax
- 503-246-3107
- Last updated
- July 8, 2007
William Fred Broussard is a Pharmacist based in Portland, OR. William Fred Broussard practices in Portland, OR and has the professional credentials of RPH. The NPI Number for William Fred Broussard is 1043217961 and holds a License No. 6521 (OR). The current practice location address for William Fred Broussard is 5415 SW Beaverton Hillsdale Hwy, Portland, OR 97221-1918 and can be reached out via phone at 503-246-5077 and via fax at 503-246-3107.
Provider Profile Details
- NPI Number
- 1043217961
- Provider Name
- William Fred Broussard
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5415 SW Beaverton Hillsdale Hwy, Portland, OR 97221-1918
- Phone Number
- 503-246-5077
- Fax Number
- 503-246-3107
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5415 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1918 - City
- Portland
- State
- Oregon
- Zip
- 97221-1918
- Phone Number
- 503-246-5077
- Fax Number
- 503-246-3107
Provider Business Mailing Address Details
- Address
- 15924 SW Breccia Dr
Beaverton, OR 97007-8567 - City
- Beaverton
- State
- OR
- Zip
- 97007-8567
- Phone Number
- 503-524-9011
- Fax Number
- 503-246-3107
License Information
- License Number
- 6521
- License State
- OR
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Portland, OR
View all Pharmacists in Portland →Frequently Asked Questions
What is the NPI number of Mr. William F Broussard, RPH?
The NPI number of Mr. William F Broussard, RPH is 1043217961. It was assigned on July 7, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. William F Broussard, RPH?
Mr. William F Broussard, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in OR under license number 6521.
Where does Mr. William F Broussard, RPH practice?
The practice location is 5415 SW Beaverton Hillsdale Hwy, Portland, OR 97221-1918. The office can be reached at 503-246-5077 (phone) or 503-246-3107 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043217961 directly on the NPPES registry website.