Healthcare Provider Details

I. General information

NPI: 1902125982
Provider Name (Legal Business Name): SANGEETHA CHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2010
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N ADAIR ST
CORNELIUS OR
97113-8404
US

IV. Provider business mailing address

220 N ADAIR ST
CORNELIUS OR
97113-8404
US

V. Phone/Fax

Practice location:
  • Phone: 503-207-0635
  • Fax: 503-207-0627
Mailing address:
  • Phone: 503-207-0635
  • Fax: 503-207-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0017810
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202209568
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: