White, Jacob

White, Jacob is an individual health care provider with primary practice located at 19300 Sw 65Th Ave , Tualatin OR 97062-7706. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. White, Jacob can be contacted via phone (503) 692-2452.

Contact Information

Primary practice address
19300 Sw 65Th Ave Tualatin OR 97062-7706
Phone: (503) 692-2452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5927998-1701 Utah
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0015566 Oregon

Profile Details

NPI number 1689217044
LBN Legal business name White, Jacob
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 5 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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