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1407306046
BRENT FREDERICK
PORTLAND, OR
NPI
1407306046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR 0008650)
Enumeration Date
2016-10-06
Last Update Date
2016-10-11
Business Address
Mr. BRENT FREDERICK Rph
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-2000
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Mailing Address
Mr. BRENT FREDERICK Rph
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-2000
Copy
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