Jennifer Lee Radke, PHARMD

NPI #1962011163 in Portland, Oregon

Provider Information

NPI Number: 1962011163
Entity Type: Individual
Name: Jennifer Lee Radke, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
Address 2: MAIL CODE: CR 9-4
City: Portland
State: Oregon
ZIP Code: 97239
Phone: (503) 494-8524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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