Healthcare Provider Details

I. General information

NPI: 1467823625
Provider Name (Legal Business Name): JULIE DEWSNUP RPH, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 UNIVERSITY OF OREGON
EUGENE OR
97403-1205
US

IV. Provider business mailing address

925 ST ANDREWS DR
EUGENE OR
97401-5436
US

V. Phone/Fax

Practice location:
  • Phone: 541-346-2887
  • Fax: 541-346-2450
Mailing address:
  • Phone: 541-729-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0007691RPH
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: