Individual
JESSICA NAKASHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 SW PAVILION LOOP, STE 320, PORTLAND, OR 97239
(503) 494-7631
Mailing address
6710 SW PARKWEST LN, PORTLAND, OR 97225-3121
(503) 808-0509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014332
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014332
OR
Other
Enumeration date
09/11/2014
Last updated
08/25/2022
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