Individual
MR. JOEY GOREN DEGROOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
9044 SW RYSTADT LN, PORTLAND, OR 97225-2851
(503) 298-0936
Mailing address
9044 SW RYSTADT LN, PORTLAND, OR 97225-2851
(503) 298-0936
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0008913
OR
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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