Individual
JEEGISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3303 SW BOND AVE, CH 12C, PORTLAND, OR 97239-4501
(503) 418-9367
Mailing address
11711 SE RUSTLING RIDGE DR, CLACKAMAS, OR 97015-6643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011039
OR
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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