Chan, Jessie

Chan, Jessie is an individual health care provider with primary practice located at 1111 Ne 102Nd Ave , Portland OR 97220-3902. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Chan, Jessie can be contacted via phone (503) 255-5494.

Contact Information

Primary practice address
1111 Ne 102Nd Ave Portland OR 97220-3902
Phone: (503) 255-5494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0011443 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11443 Oregon

Profile Details

NPI number 1487929394
LBN Legal business name Chan, Jessie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated Apr 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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