Individual
JESSIE CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 SE WASHINGTON ST, T-1419, PORTLAND, OR 97216-2420
(503) 252-5934
Mailing address
9800 SE WASHINGTON ST, T-1419, PORTLAND, OR 97216-2420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013338
OR
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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