Individual
JEFF CHUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
25925 SW HEATHER PL, T-1847, WILSONVILLE, OR 97070-5785
(503) 682-7793
Mailing address
25925 SW HEATHER PL, T-1847, WILSONVILLE, OR 97070-5785
(503) 682-7793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012737
OR
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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