Individual
JENNI RUTH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9620 SW 90TH AVE, PORTLAND, OR 97223-6771
(503) 593-8919
Mailing address
9620 SW 90TH AVE, PORTLAND, OR 97223-6771
(503) 593-8919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012238
OR
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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