Individual
JESSICA KNECHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(888) 658-7548
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017408
OR
Other
Enumeration date
08/24/2019
Last updated
05/22/2025
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