Individual
DR. JERROLD P BLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13939 SW PACIFIC HWY, TIGARD, OR 97223-4838
(503) 670-9812
Mailing address
1200 NW MARSHALL ST STE 508, PORTLAND, OR 97209-3168
(765) 426-3362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011111
OR
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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