Active NPIIndividual providerSole proprietor

Jennifer Carlson, RPH, PHARMD

Pharmacist, Geriatric in Tigard, Oregon

NPI Number1336550045
Practice location
16100 SW 72ND Ave, Tigard, OR 97224-7745
Fax
503-372-1792
Last updated
May 15, 2014

Jennifer Carlson is a Pharmacist, Geriatric based in Tigard, OR. Jennifer Carlson practices in Tigard, OR and has the professional credentials of RPH, PHARMD. The NPI Number for Jennifer Carlson is 1336550045 and holds a License No. 8700 (OR). The current practice location address for Jennifer Carlson is 16100 SW 72ND Ave, Tigard, OR 97224-7745 and can be reached out via phone at 503-626-9436 and via fax at 503-372-1792.

Provider Profile Details

NPI Number
1336550045
Provider Name
Jennifer Carlson
Credential
RPH, PHARMD
Provider Entity Type
Individual
Gender
Female
Address
16100 SW 72ND Ave, Tigard, OR 97224-7745
Phone Number
503-626-9436
Fax Number
503-372-1792
Primary Taxonomy
Pharmacist, Geriatric · 1835G0303X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2014
Last Update Date
May 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
16100 SW 72ND Ave
Tigard, OR 97224-7745
City
Tigard
State
Oregon
Zip
97224-7745
Phone Number
503-626-9436
Fax Number
503-372-1792
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
16100 SW 72ND Ave
Tigard, OR 97224-7745
City
Tigard
State
OR
Zip
97224-7745

License Information

License Number (1)
8700
License State (1)
OR
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
8700
License State (2)
OR
Taxonomy (2)
Pharmacist, Geriatric · 1835G0303X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jennifer Carlson, RPH, PHARMD?

The NPI number of Jennifer Carlson, RPH, PHARMD is 1336550045. It was assigned on May 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Jennifer Carlson, RPH, PHARMD?

Jennifer Carlson, RPH, PHARMD is registered under the primary taxonomy Pharmacist, Geriatric (code 1835G0303X), licensed in OR under license number 8700.

Where does Jennifer Carlson, RPH, PHARMD practice?

The practice location is 16100 SW 72ND Ave, Tigard, OR 97224-7745. The office can be reached at 503-626-9436 (phone) or 503-372-1792 (fax).

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 1336550045 directly on the NPPES registry website.

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