Most Relevant Information
Provider Data
| NPI Number: | 1003015165 |
| Provider Name: | JESSICA J KHALILI PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 9454 |
Most Important Dates
| Enumeration Date: | 07/17/2007 |
| Last Updated: | 07/17/2007 |
Provider Practice Location
3710 SW US VETERANS HOSPITAL RD
PHARMACY DEPARTMENT
PORTLAND
OR
972392964
Practice Location Phone/Fax
| Phone: | 5034022946 |
| Fax: | 5034022919 |
Provider Mailing Location
3710 SW US VETERANS HOSPITAL RD
PHARMACY DEPARTMENT
PORTLAND
OR
972392964
Provider Mailing Phone/Fax
| Phone: | 5034022946 |
| Fax: | 5034022919 |