Healthcare Provider Details

I. General information

NPI: 1922936848
Provider Name (Legal Business Name): MARK CATER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 RIVERBEND DR
SPRINGFIELD OR
97477-8800
US

IV. Provider business mailing address

85377 SARVIS BERRY LN
EUGENE OR
97405-9205
US

V. Phone/Fax

Practice location:
  • Phone: 541-521-1729
  • Fax:
Mailing address:
  • Phone: 541-521-1729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7208
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: