Individual
DR. MATTHEW DENEFF
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) 418-9900
Mailing address
650 S GAINES ST APT 1117, PORTLAND, OR 97239-4768
(401) 742-9628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0018236
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0018236
OR
1835P1200X
Pharmacotherapy Pharmacist
3165645
OR
Other
Enumeration date
11/23/2021
Last updated
12/03/2021
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