Individual provider · Type 1 NPI

Jeffery Dale Fortner, PharmD

Pharmacist · Portland, OR

NPI number 1780968578 Active

Practice location

1125 NE 99th Ave
Portland, OR 97220-9428

Call (503) 254-7383 Map

Mailing address

222 SE 8th Ave, Suite 451
Hillsboro, OR 97123-4218

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH-0010486 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1780968578

Jeffery Dale Fortner, PharmD's National Provider Identifier is 1780968578, issued on Sep 28, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2011.