Healthcare Provider Details

I. General information

NPI: 1093019382
Provider Name (Legal Business Name): CHRISTINE ANN KASSINGER PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2010
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 SE ENSIGN LN
WARRENTON OR
97146-7339
US

IV. Provider business mailing address

90600 WIND AND SEA LOOP
WARRENTON OR
97146-7423
US

V. Phone/Fax

Practice location:
  • Phone: 503-338-4110
  • Fax:
Mailing address:
  • Phone: 509-432-1168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0012278
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: