Individual
JEFFREY WASSOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
14300 SW BARROWS RD, TIGARD, OR 97223-2063
(503) 590-4697
(503) 590-3804
Mailing address
14300 SW BARROWS RD, TIGARD, OR 97223-2063
(503) 590-4697
(503) 590-3804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10033
OR
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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