Individual
JACOB TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-2793
(503) 472-2133
Mailing address
21629 SW CEDAR BROOK WAY APT 132, SHERWOOD, OR 97140-5202
(541) 640-9943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019773
OR
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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