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
Phone: (503) 261-2053
Fax: (503) 261-7978
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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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