Individual
JACOB HELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2836 PACIFIC AVE, FOREST GROVE, OR 97116-1896
(503) 359-8700
Mailing address
1199 NW ROMANE PL APT 7202, BEAVERTON, OR 97006-6082
(618) 521-4139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016975
OR
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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