Healthcare Provider Details

I. General information

NPI: 1316201114
Provider Name (Legal Business Name): SHANNON KATY ZAHLER R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15995 SW WALKER RD
BEAVERTON OR
97006-4910
US

IV. Provider business mailing address

15995 SW WALKER RD
BEAVERTON OR
97006-4910
US

V. Phone/Fax

Practice location:
  • Phone: 503-690-5833
  • Fax: 503-690-5827
Mailing address:
  • Phone: 503-690-5833
  • Fax: 503-690-5827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8838
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0008838
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: