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General NPI Number Information
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NPI Number | 1881093037
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH ANDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1515 VILLAGE DR
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-9700
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Country | US
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Telephone | 541-767-5200
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Fax | 541-767-5288
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Provider Business Mailing Address
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Address Line | 17500 N 67TH AVE APT 1081
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City | GLENDALE
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State | AZ
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Zip | 85308-1084
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Country | US
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Telephone | 503-341-5793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23458
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021237
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0015599
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License Number State | OR
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