Individual
DR. JARED BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1950 NE BURNSIDE RD, GRESHAM, OR 97030-7949
(503) 674-8482
Mailing address
1950 NE BURNSIDE RD, GRESHAM, OR 97030-7949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-001986
OR
Other
Enumeration date
12/22/2009
Last updated
07/19/2011
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