JEFFERY DALE FORTNER

PORTLAND, OR
NPI1780968578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0010486)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
Dr. JEFFERY DALE FORTNER Pharm.D.
1125 NE 99TH AVE
PORTLAND, OR 97220-9428
Phone number: 503-254-7383
Mailing Address
Dr. JEFFERY DALE FORTNER Pharm.D.
222 SE 8TH AVE SUITE 451
HILLSBORO, OR 97123-4218
Phone number: 503-352-7269
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