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Individual

RODNEY WHITESIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1455 NE DIVISION ST, GRESHAM, OR 97030-4270
(503) 492-7279
Mailing address
2501 SW CHERRY PARK RD, TROUTDALE, OR 97060-2931
(503) 674-7006

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010877
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010877
OR

Other

Enumeration date
10/23/2010
Last updated
01/23/2019
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