Individual
JENNIFER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
939 SW MORRISON ST, PORTLAND, OR 97205-2727
(503) 290-5362
Mailing address
7141 SW MAPLELEAF CT, TIGARD, OR 97223-1175
(816) 769-4357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016860
OR
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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