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Individual

DR. JOEL BRIAN FEAMMELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10775 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3001
(503) 207-0646
Mailing address
10775 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3001
(503) 207-0646

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013835
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0013835
OREGON BOARD OF PHARMACY
OR
Enumeration date
10/11/2013
Last updated
10/11/2013
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