Individual
RYAN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 NW 20TH PL, PORTLAND, OR 97209-1029
(503) 721-4133
(503) 273-2072
Mailing address
100 NW 20TH PL, PORTLAND, OR 97209-1029
(503) 721-4133
(503) 273-2072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0015260
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0015260
OR
Other
Enumeration date
07/21/2016
Last updated
04/27/2017
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