Healthcare Provider Details

I. General information

NPI: 1437554003
Provider Name (Legal Business Name): FRANCIS DJORGEE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 05/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SE MCGILLIVRAY BLVD
VANCOUVER WA
98683-3419
US

IV. Provider business mailing address

6907 N CONGRESS AVE
PORTLAND OR
97217-1949
US

V. Phone/Fax

Practice location:
  • Phone: 360-260-3333
  • Fax:
Mailing address:
  • Phone: 602-802-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS020999
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60484915
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: