Individual
JAZZ FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014936
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014936
OR
Other
Enumeration date
09/01/2015
Last updated
01/31/2016
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