Individual
JASEN KARL KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
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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