Individual
DR. JACK RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCOP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 346-1475
Mailing address
925 NW HOYT ST APT 629, PORTLAND, OR 97209-3253
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0018549
OR
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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