Healthcare Provider Details

I. General information

NPI: 1992078679
Provider Name (Legal Business Name): ANGELA K VALERGA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 E WASHINGTON ST BUILDING B
SEQUIM WA
98382
US

IV. Provider business mailing address

19550 AMBER MEADOW DR STE 170
BEND OR
97702-3527
US

V. Phone/Fax

Practice location:
  • Phone: 360-683-1156
  • Fax: 360-683-8532
Mailing address:
  • Phone: 541-389-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0009604
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH61078044
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: