Individual
JASEN KARL KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2053
(503) 261-7978
Mailing address
4714 NE 72ND AVE APT 33, VANCOUVER, WA 98661-8114
(360) 606-1456
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
PH00060941
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH-0010684
OR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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