Individual
DR. JENNETTE KATHLEEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6141
Mailing address
255 SW HARRISON ST, APT 21 H, PORTLAND, OR 97201-5338
(352) 871-6979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42659
FL
183500000X
Pharmacist
RPH-0011441
OR
Other
Enumeration date
05/14/2008
Last updated
03/26/2009
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