Individual
YAKOV NAZARETYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30299 SW BOONES FERRY RD, WILSONVILLE, OR 97070-7844
(503) 682-4435
Mailing address
30299 SW BOONES FERRY RD, WILSONVILLE, OR 97070-7844
(503) 682-4435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0013290
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0013290
OR
Other
Enumeration date
09/22/2015
Last updated
03/12/2016
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