Individual
DR. JEFFREY DANA WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1255 NE 48TH AVE, HILLSBORO, OR 97124-5008
(503) 681-2828
(503) 681-2825
Mailing address
1255 NE 48TH AVE, HILLSBORO, OR 97124-5008
(503) 681-2828
(503) 681-2825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12276
OR
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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