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Individual

DR. KENITH CHARELS FRITSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
514 NE 181ST AVE, PORTLAND, OR 97230-6702
(503) 661-6991
Mailing address
21500 NE HALSEY ST, FAIRVIEW, OR 97024-8616
(503) 491-8953
(503) 405-9817

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60620587
WA
183500000X
Pharmacist
RPH-0014951
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0014951
OR

Other

Enumeration date
09/02/2015
Last updated
11/20/2020
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