Individual
JONATHAN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8007
Mailing address
5024 SE 36TH PL, PORTLAND, OR 97202-4143
(256) 797-4841
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0011690
OR
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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