Healthcare Provider Details

I. General information

NPI: 1700742921
Provider Name (Legal Business Name): KAYLEIGH BRIANNA FLINT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N PROVIDENCE DR STE 310
NEWBERG OR
97132-7582
US

IV. Provider business mailing address

1000 N PROVIDENCE DR STE 310
NEWBERG OR
97132-7582
US

V. Phone/Fax

Practice location:
  • Phone: 503-537-6040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH-0017688
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: