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Individual

JEAN HALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25900 SE HEATHER PL, WILSONVILLE, OR 97070
(503) 825-4005
(503) 825-4023
Mailing address
25900 SW HEATHER PL, WILSONVILLE, OR 97070-5785
(503) 825-4005
(503) 825-4023

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
6389
OR
183500000X
Pharmacist
8422
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6389
OR

Other

Enumeration date
03/17/2010
Last updated
01/22/2016
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