Individual
RUSSELL A WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2497 NE ROBERTS AVE, GRESHAM, OR 97080
(503) 669-4233
(503) 669-4238
Mailing address
2497 NE ROBERTS AVE, GRESHAM, OR 97080
(503) 669-4233
(503) 669-4238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7549
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0007549
OR
Other
Enumeration date
04/03/2012
Last updated
05/04/2017
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