Individual
JENNIFER LEE RADKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CR 9-4, PORTLAND, OR 97239
(503) 494-8524
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CR 9-4, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017919
OR
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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