Individual provider · Type 1 NPI
Jeffrey Dversdal
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fairview, OR
NPI number
1104618362
Active
Practice location
3768 NE Fairview Lake Way
Fairview, OR 97024-7758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | RPH-0010048 (OR) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
About NPI 1104618362
Jeffrey Dversdal's National Provider Identifier is 1104618362, issued on May 21, 2025. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fairview, OR. The record was last updated on May 21, 2025.