Individual
KEVIN HAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 NW 20TH PL, PORTLAND, OR 97209-1029
(503) 721-4133
(503) 273-2072
Mailing address
7555 SW BARBUR BLVD, PORTLAND, OR 97219-3090
(503) 452-3033
(503) 452-3027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013157
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013157
OR
Other
Enumeration date
01/01/2013
Last updated
04/28/2017
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