Individual
PATRICK SCOTT HUBBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
3131 SE MILWAUKIE AVE, PORTLAND, OR 97202-2427
(503) 234-8348
(503) 235-0373
Mailing address
3131 SE MILWAUKIE AVE, PORTLAND, OR 97202-2427
(503) 234-8348
(503) 235-0373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11960
KS
183500000X
Pharmacist
14036
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14036
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724546
—
OR
Enumeration date
04/16/2007
Last updated
01/17/2023
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