Healthcare Provider Details

I. General information

NPI: 1770824906
Provider Name (Legal Business Name): EDWARD MICHAEL SAITO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 N ADAIR ST
CORNELIUS OR
97113-8900
US

IV. Provider business mailing address

222 SE 8TH AVE
HILLSBORO OR
97123-4218
US

V. Phone/Fax

Practice location:
  • Phone: 503-213-1598
  • Fax:
Mailing address:
  • Phone: 503-352-7286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19889
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22573
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0014114
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: