Provider Demographics
NPI:1316288277
Name:CHEFOR, PAUL MOFOR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MOFOR
Last Name:CHEFOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9780 SW NIMBUS AVE STE 9780
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-7172
Mailing Address - Country:US
Mailing Address - Phone:240-472-6143
Mailing Address - Fax:501-671-9445
Practice Address - Street 1:9780 SW NIMBUS AVE STE 9780
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7172
Practice Address - Country:US
Practice Address - Phone:240-472-6143
Practice Address - Fax:503-671-9445
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52646183500000X
FLPS48856183500000X
GARPH028180183500000X
ORRPH-0018397183500000X
AZS020305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist