Knudsen, Jasen Karl

Knudsen, Jasen Karl is an sole proprietor health care provider with primary practice located at 5717 Ne 138Th Ave , Portland OR 97230-3409. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Knudsen, Jasen Karl can be contacted via phone (503) 261-2053.

Contact Information

Primary practice address
5717 Ne 138Th Ave Portland OR 97230-3409
Fax: (503) 261-7978
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PH00060941 Washington
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RPH-0010684 Oregon

Profile Details

NPI number 1326156936
LBN Legal business name Knudsen, Jasen Karl
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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