Individual
MR. JAMES E SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3909 SE HOLGATE BLVD, PORTLAND, OR 97202-3143
(503) 777-2893
(503) 777-4308
Mailing address
3909 SE HOLGATE BLVD, PORTLAND, OR 97202-3143
(503) 777-2893
(503) 777-4308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7933
OR
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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