Individual
DR. JASON ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1950 NE BURNSIDE RD, GRESHAM, OR 97030-7949
(503) 674-8482
Mailing address
501 N GRAHAM ST, PORTLAND, OR 97227-1654
(503) 413-4225
(503) 413-4515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012293
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12293
OR
Other
Enumeration date
08/17/2010
Last updated
02/11/2016
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