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Individual

RONALD HOGEVOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 351-7637
Mailing address
1727 SE 43RD AVE, PORTLAND, OR 97215-3115
(503) 407-3297

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
9167
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9167
OR

Other

Enumeration date
06/05/2016
Last updated
11/16/2016
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