Individual provider · NPI-1

Stephanie Krautscheid, PharmD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Wood Village, OR

NPI number1033874011
StatusActive
Last updated in NPPESNov 3, 2021

Details

NPI
1033874011
Entity type
Individual (NPI-1)
Name
Stephanie Krautscheid
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2021
Certification date
Nov 3, 2021
Last updated
Nov 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0018673ORYes
183500000X PharmacistRPH-0018673OR

Practice location

22855 Ne Park Ln
Wood Village, OR 97060-2606

Phone 503-492-5033

Mailing address

22855 Ne Park Ln
Wood Village, OR 97060-2606

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