Healthcare Provider Details

I. General information

NPI: 1508564006
Provider Name (Legal Business Name): LORI FELLER MACGREGOR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2578 NE 2ND DR
HILLSBORO OR
97124-2398
US

IV. Provider business mailing address

2578 NE 2ND DR
HILLSBORO OR
97124-2398
US

V. Phone/Fax

Practice location:
  • Phone: 503-887-9993
  • Fax:
Mailing address:
  • Phone: 503-887-9993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9264
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: