Individual
NICHOLAS J HAFEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7650 NE SHALEEN ST, HILLSBORO, OR 97006-6764
(503) 268-6918
(503) 268-6917
Mailing address
7650 NE SHALEEN ST, HILLSBORO, OR 97006-6764
(503) 268-6918
(503) 268-6917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7685
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7685
OR
Other
Enumeration date
09/15/2011
Last updated
06/16/2018
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