MEDICARE: GENARO JR ESPINOZA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH-0020137	OR

General Provider Information

NPI Number	:	1972312304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENARO JR ESPINOZA PHARMD

Provider Business Mailing Address
First Line	:	1619 NE 42ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1524
Country	:	US
Telephone Number	:	971-358-6888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 NE 42ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1524
Country	:	US
Telephone Number	:	971-358-6888
Fax Number	:	971-358-6889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2024
Last Update Date	:	12/31/2024

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Directions to “ GENARO JR ESPINOZA PHARMD” Practice Location

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