Individual
JILL BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1040 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210-3057
(503) 413-6122
(503) 413-8245
Mailing address
1040 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210-3057
(503) 413-6122
(503) 413-8245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8044
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8044
OR
Other
Enumeration date
10/26/2010
Last updated
03/03/2016
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