Individual
DR. JASON RYAN KUMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
28827 SW COSTA CIR W, WILSONVILLE, OR 97070-7384
(503) 919-9883
Mailing address
28827 SW COSTA CIR W, WILSONVILLE, OR 97070-7384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019128
OR
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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