Individual
DR. JARED ANTHONY ISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15812 SE 114TH AVE, CLACKAMAS, OR 97015-9034
(503) 449-2651
Mailing address
15812 SE 114TH AVE, CLACKAMAS, OR 97015-9034
(503) 449-2651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013760
OR
Other
Enumeration date
09/30/2013
Last updated
03/13/2020
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