Jeffrey A Clark in Portland - Pharmacist

Jeffrey A Clark - NPI 1356461750

Jeffrey A Clark is a Pharmacist in Portland, Oregon. Jeffrey A Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jeffrey A Clark is 1356461750. The last update date is 2007-07-08.

Jeffrey A Clark's current location address is 600 Nw 10th Ave, Portland, Oregon. You can contact this provider via phone number 5032274835. The mailing address for Jeffrey A Clark is 600 Nw 10th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey A Clark
Address 600 Nw 10th Ave, Portland, Oregon
Phone Number 5032274835
Fax Number
Sole Proprietor Y
Credentials RPH

NPI Number Detail

NPI Number 1356461750
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 Nw 10th Ave
City Portland
State Oregon (OR)
Post Code 972093202
Phone Number 5032274835
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No RPH0010544
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Jeffrey A Clark

What is the Jeffrey A Clark's unique identification number?

The Jeffrey A Clark has been assigned the NPI (National Provider Identifier) Number 1356461750 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jeffrey A Clark is geographically located?

The Jeffrey A Clark is physically situated at the following location: 600 Nw 10Th Ave, Portland, OR, 972093202.

What is Jeffrey A Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeffrey A Clark is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356461750 to Jeffrey A Clark?

The Centers for Medicare & Medicaid Services originally issued the 1356461750 to Jeffrey A Clark on 2007-03-30.

When was the Jeffrey A Clark's information last updated?

The Jeffrey A Clark's information was last updated on 2007-07-08.

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