Individual
RICHARD JAMES ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7645 SW BOND ST, TIGARD, OR 97224-7955
(503) 620-0970
Mailing address
PO BOX 23394, TIGARD, OR 97281-3394
(503) 620-0970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6620
OR
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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