Individual
JEFFREY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(971) 386-2062
Mailing address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(971) 386-2062
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0015000
OR
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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