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Individual

DR. PONTUS L JADERHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-3299
Mailing address
2906 NE 70TH AVE, PORTLAND, OR 97213-5910

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10321
OR

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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