Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY DVERSDAL
ActiveMR. JEFFREY DVERSDAL is a Pharmacist Clinician (PhC) healthcare provider located in FAIRVIEW, Oregon. NPI 1104618362 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · FAIRVIEW, OR
Registration Details
- NPI Number
- 1104618362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2025 (1.277881722705 yrs)
- Last Updated
- May 21, 2025
- License
-
RPH-0010048 (OR)
Practice Information
- Address
-
3768 NE FAIRVIEW LAKE WAYFAIRVIEW, OR, 970247758Browse OR providers · Browse ZIP 97024
- Phone
- 5034592474
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.