Individual
DR. IAN ADDISON TESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2284
(503) 215-0466
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2284
(503) 215-0466
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0012446
OR
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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