Individual
JACKIE KIM SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0252
Mailing address
250 SW 90TH AVE, PORTLAND, OR 97225-6812
(971) 207-4488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012256
OR
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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