Individual
MR. BRETT CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3207
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0010078
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0010078
OR
Other
Enumeration date
09/18/2016
Last updated
12/19/2016
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