Individual
MR. ROGER PELTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10775 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-4157
(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
RPH-7778
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0007778
OR
Other
Enumeration date
07/26/2011
Last updated
02/07/2021
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