Individual
SHAUN C DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
13 NW 23RD PL, PORTLAND, OR 97210-3534
(503) 226-6211
(503) 226-5390
Mailing address
430 SE 192ND AVE, VANCOUVER, WA 98683-9531
(503) 349-6644
(888) 452-8127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009307
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0009307
OR
Other
Enumeration date
04/28/2012
Last updated
06/16/2018
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