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Individual

JESSICA LASSITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0255
Mailing address
9720 SW 74TH AVE, TIGARD, OR 97223-1116
(608) 215-1135

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0011132
OR

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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