Individual
MR. CLIFFORD STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-9058
(503) 571-7905
Mailing address
333 SE 65TH AVE, PORTLAND, OR 97215-1327
(503) 961-4295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6741
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6741
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6741
PHARMACIST LICENSE
OR
Enumeration date
08/26/2016
Last updated
11/17/2016
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