Mr. Jeffrey Dversdal

Mr. Jeffrey Dversdal is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider (Pharmacist) practicing in Fairview, OR, registered in the NPPES registry with NPI 1104618362 since 2025.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104618362
Entity type	Individual (Type 1)
Name	Mr. Jeffrey Dversdal
Sex	Male
Practice address	3768 NE FAIRVIEW LAKE WAY, Fairview, OR, 97024
Phone	5034592474
Enumeration date	2025-05-21
Last updated in NPPES	2025-05-21

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	Primary	RPH-0010048	OR

Copy-ready billing details

Provider: Jeffrey Dversdal
NPI: 1104618362
Taxonomy: 1835P0018X (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
Address: 3768 NE FAIRVIEW LAKE WAY, Fairview, OR, 97024

Verify this record

Cross-check NPI 1104618362 against the authoritative CMS record: view Mr. Jeffrey Dversdal on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What specialty is Jeffrey Dversdal?

Jeffrey Dversdal is registered in NPPES with the primary taxonomy of Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-21.