Ryan Eidar Pimentel, RPh
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1104690643
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1104690643
- Entity type
- Individual (NPI-1)
- Name
- Ryan Eidar Pimentel
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2023
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH-0019771 | OR | Yes |
Practice location
3805 Se Hawthorne BlvdPortland, OR 97214-5239
Phone 503-872-3333
Mailing address
1605 Sw 134th AveBeaverton, OR 97005-0982
Phone 971-275-5465
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