Individual
JENNIFER L TATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
940 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4316
(503) 238-6053
Mailing address
940 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4316
(503) 238-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13676-40
WI
183500000X
Pharmacist
Primary
RPH-0011507
OR
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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