Individual
EDWARD JACOBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 S HIGHWAY 101, WARRENTON, OR 97146-9314
(503) 861-1611
Mailing address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019336
OR
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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