NPI 1104113075

Janice R Nelson, PHARMD

Practitioner Pharmacist Tigard, OR

Practice location

Address: 9009 SW Hall Blvd, Tigard, OR 97223-4432
Phone: (503) 639-3446
Fax: (503) 639-3446
Mailing address: 13595 SW Roan CT, Beaverton, OR 97008-7518

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 9105 (OR)

Other Pharmacist providers in Oregon →

Registry record

NPI: 1104113075
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2011
Record last updated: 29 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.