Individual
JENNIFER JOHNSON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11665 HAZELGREEN RD NE, SILVERTON, OR 97381-9610
(541) 510-4158
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 693-5879
(360) 859-4326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009796
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-00009796
OR
Other
Enumeration date
01/15/2014
Last updated
09/13/2024
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