Individual
MARK A SEIFFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 331-2677
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007514
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500723237
—
OR
Enumeration date
08/28/2016
Last updated
06/08/2021
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