Individual
RYAN EIDAR PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3805 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5239
(503) 872-3333
Mailing address
1605 SW 134TH AVE, BEAVERTON, OR 97005-0982
(971) 275-5465
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0019771
OR
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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