Individual
NICHOLAS JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
180 MELTON RD, CRESWELL, OR 97426-9453
(541) 222-7700
Mailing address
180 MELTON RD, CRESWELL, OR 97426-9453
(541) 222-7700
(541) 895-5426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018556
OR
Other
Enumeration date
12/21/2022
Last updated
01/02/2026
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