- Practice location
- 19200 SW Martinazzi Ave, Tualatin, OR 97062-6357
- Phone
- 503-691-4233
- Fax
- —
- Last updated
- November 2, 2024
Jacob Douglas Burgis is a Pharmacist based in Tualatin, OR. Jacob Douglas Burgis practices in Tualatin, OR and has the professional credentials of RPH. The NPI Number for Jacob Douglas Burgis is 1225851934 and holds a License No. RPH-0020309 (OR). The current practice location address for Jacob Douglas Burgis is 19200 SW Martinazzi Ave, Tualatin, OR 97062-6357 and can be reached out via phone at 503-691-4233.
Provider Profile Details
- NPI Number
- 1225851934
- Provider Name
- Jacob Douglas Burgis
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19200 SW Martinazzi Ave, Tualatin, OR 97062-6357
- Phone Number
- 503-691-4233
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2024
- Last Update Date
- November 2, 2024
- Certification Date
- November 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19200 SW Martinazzi Ave
Tualatin, OR 97062-6357 - City
- Tualatin
- State
- Oregon
- Zip
- 97062-6357
- Phone Number
- 503-691-4233
Provider Business Mailing Address Details
- Address
- 11671 SW Teal Blvd Apt G
Beaverton, OR 97007-8248 - City
- Beaverton
- State
- OR
- Zip
- 97007-8248
- Phone Number
- 661-349-5721
License Information
- License Number
- RPH-0020309
- License State
- OR
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacob D Burgis, RPH?
The NPI number of Jacob D Burgis, RPH is 1225851934. It was assigned on November 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Jacob D Burgis, RPH?
Jacob D Burgis, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in OR under license number RPH-0020309.
Where does Jacob D Burgis, RPH practice?
The practice location is 19200 SW Martinazzi Ave, Tualatin, OR 97062-6357. The office can be reached at 503-691-4233 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225851934 directly on the NPPES registry website.