Healthcare Provider Details

I. General information

NPI: 1023394426
Provider Name (Legal Business Name): MEGAN MARIE VIEHMANN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2011
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 SE DIVISION ST
PORTLAND OR
97202-1643
US

IV. Provider business mailing address

51377 SW OLD PORTLAND RD STE C
SCAPPOOSE OR
97056-4023
US

V. Phone/Fax

Practice location:
  • Phone: 503-418-3250
  • Fax: 503-418-3330
Mailing address:
  • Phone: 503-418-4222
  • Fax: 503-418-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0011288
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH-0011288
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0011288
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: