Individual
JADE ELIZABETH ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8300 SW CREEKSIDE PL STE 100, BEAVERTON, OR 97008-8179
(503) 346-3370
Mailing address
12850 SW HART RD, BEAVERTON, OR 97008-5705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007620
OR
333600000X
Pharmacy
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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