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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Pharmacist Clinician (PhC) · PORTLAND, OR

Registration Details

NPI Number
1356707004
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2016 (10.280876429777 yrs)
Last Updated
Dec 14, 2016
Licenses
RPH-0009319-P (OR)
RPH-0009319-P (OR)

Practice Information

Address
3550 N INTERSTATE AVE
PORTLAND, OR, 972271196
Browse OR providers · Browse ZIP 97227
Phone
5033316413
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.