DR. Roger Kevin Clark JR., PHARMD

NPI #1104476225 in Portland, Oregon

Provider Information

NPI Number: 1104476225
Entity Type: Individual
Name: DR. Roger Kevin Clark JR., PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 19, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 418-3308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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