Healthcare Provider Details

I. General information

NPI: 1942592936
Provider Name (Legal Business Name): ROBERT WRIGHT TEMPLIN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 05/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 SW 1ST AVE
CANBY OR
97013-3827
US

IV. Provider business mailing address

7435 SE 31ST AVE
PORTLAND OR
97202
US

V. Phone/Fax

Practice location:
  • Phone: 503-266-6381
  • Fax: 503-266-6751
Mailing address:
  • Phone: 503-774-6006
  • Fax: 503-774-6006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0006320
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: