Individual
JOHN PAUL PEKSON ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7700 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2101
(503) 203-4033
Mailing address
2300 SW 214TH PL, BEAVERTON, OR 97003-1600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015448
OR
Other
Enumeration date
08/25/2016
Last updated
05/05/2017
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