Individual
JACLYN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1919 NW LOVEJOY ST, PORTLAND, OR 97209-1503
(503) 415-5600
Mailing address
2050 NE HOYT ST, PORTLAND, OR 97232-3585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018468
OR
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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