Individual
JASON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3964
(503) 505-2127
(503) 988-4345
Mailing address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3964
(503) 505-2127
(503) 988-4345
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT0001475
OR
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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