Individual
JASON SCOTT RENOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, CGP
Contact information
Practice address
550 1ST ST, SCOTTS MILLS, OR 97375-7002
(503) 551-7170
Mailing address
PO BOX 335, SCOTTS MILLS, OR 97375-0335
(503) 551-7170
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RPH-0009029
OR
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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