Individual
SHAWN GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5721 NE 138TH AVE, PORTLAND, OR 97230-3495
(503) 261-7547
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3499
(503) 261-7547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00018665
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0009754
OR
Other
Enumeration date
05/27/2018
Last updated
04/29/2020
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