Healthcare Provider Details

I. General information

NPI: 1568645489
Provider Name (Legal Business Name): CAMILLA RENEE ALBRECHT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14406 NE 20TH AVE
VANCOUVER WA
98686-1448
US

IV. Provider business mailing address

14406 NE 20TH AVE
VANCOUVER WA
98686-1448
US

V. Phone/Fax

Practice location:
  • Phone: 503-261-7966
  • Fax: 503-261-7977
Mailing address:
  • Phone: 503-261-7966
  • Fax: 503-261-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00040096
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0009093
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: