Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey Dversdal

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1104618362

Mr. Jeffrey Dversdal is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fairview, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

3768 NE Fairview Lake Way
Fairview, OR 97024-7758
Phone: (503) 459-2474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence RPH-0010048 (OR)

Record details

NPI number1104618362
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address3768 Ne Fairview Lake Way, Fairview, OR 97024-7758