Individual
MR. JONATHAN FENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9363 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3360
(503) 292-1146
(503) 292-1144
Mailing address
9363 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3360
(503) 292-1146
(503) 292-1144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8415
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
8415
OR
Other
Enumeration date
09/27/2014
Last updated
04/13/2018
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