Individual
DR. JEFFREY JAMES LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
13130 SE 84TH AVE, CLACKAMAS, OR 97015-9733
(503) 794-5520
(503) 794-5528
Mailing address
13130 SE 84TH AVE, CLACKAMAS, OR 97015-9733
(503) 794-5520
(503) 794-5528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10833
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
10833
OR
Other
Enumeration date
11/01/2010
Last updated
01/06/2016
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