Individual
JOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2454
(503) 692-7437
Mailing address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2454
(503) 692-7437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011836
OR
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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