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NPI Code Detail

MEDICARE: MATTHEW MCGREGOR PHARMACIST

MEDICARE: MATTHEW MCGREGOR PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPI-0013022OR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0018796OR

General Provider Information

NPI Number : 1598237943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW MCGREGOR PHARMACIST
Provider Business Mailing Address
First Line : 2497 SE BURNSIDE RD
Second Line :
City : GRESHAM
State : OR
Zip : 97080-1299
Country : US
Telephone Number : 503-669-4233
Fax Number :
Provider Business Practice Location Address
First Line : 2497 SE BURNSIDE RD
Second Line :
City : GRESHAM
State : OR
Zip : 97080-1246
Country : US
Telephone Number : 503-669-4233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2018
Last Update Date : 05/22/2026

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