Healthcare Provider Details

I. General information

NPI: 1982163630
Provider Name (Legal Business Name): RAFAL SHEHATA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 NE HIGHWAY 99 STE B
VANCOUVER WA
98665-8890
US

IV. Provider business mailing address

7822 NE 24TH CT
VANCOUVER WA
98665-1137
US

V. Phone/Fax

Practice location:
  • Phone: 360-699-8133
  • Fax:
Mailing address:
  • Phone: 360-433-8784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0017127
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60720205
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: