Healthcare Provider Details

I. General information

NPI: 1184199911
Provider Name (Legal Business Name): NEGAR NEMATIAN ARABI PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12607 SE MILL PLAIN BLVD
VANCOUVER WA
98684-6055
US

IV. Provider business mailing address

1619 SE 191ST PL
VANCOUVER WA
98683-9743
US

V. Phone/Fax

Practice location:
  • Phone: 360-449-1600
  • Fax:
Mailing address:
  • Phone: 360-521-0852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60883673
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60883673
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0016947
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: