Healthcare Provider Details

I. General information

NPI: 1033442504
Provider Name (Legal Business Name): AMY R HOWE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MOUNT HOOD ST
THE DALLES OR
97058-3589
US

IV. Provider business mailing address

515 MOUNT HOOD ST
THE DALLES OR
97058-3589
US

V. Phone/Fax

Practice location:
  • Phone: 541-296-3190
  • Fax: 541-296-3908
Mailing address:
  • Phone: 541-296-3190
  • Fax: 541-296-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0010226
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: