Individual
CHAD MICHAEL JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
102 MARTIN DR STE A, STAYTON, OR 97383-1296
(503) 769-2616
Mailing address
102 MARTIN DR STE A, STAYTON, OR 97383-1296
(503) 769-2616
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0009883
OR
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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