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

JEANNE MARIE MENDAZONA, RPH

Active Sole Proprietor

Pharmacist Clinician (PhC) · POWELL BUTTE, OR

Registration Details

NPI Number
1427529080
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2018 (7.4119718787634 yrs)
Last Updated
May 18, 2023
Licenses
RPH0009286 (OR)
9286 (OR)
Sole Proprietor
Yes

Practice Information

Address
16204 SW VAQUEROS WAY
POWELL BUTTE, OR, 977530411
Browse OR providers · Browse ZIP 97753
Phone
5413252069
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)
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.