Individual
JOLENE SIPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, V5PHARM, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
13005 NW 28TH CT, VANCOUVER, WA 98685-2359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6787
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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