Individual
DR. TRAVIS GENE HOAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(800) 813-2000
Mailing address
1160 WALLACE RD NW, SALEM, OR 97304-3116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014261
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014261
OR
Other
Enumeration date
08/20/2014
Last updated
11/29/2019
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