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NPI Code Detail

MEDICARE: CHRISTY EVELYN SVENDSEN PHARMD

MEDICARE: CHRISTY EVELYN SVENDSEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0010479-POR
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0010479OR

General Provider Information

NPI Number : 1093102527
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY EVELYN SVENDSEN PHARMD
Provider Business Mailing Address
First Line : 1839 MOLALLA AVE
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4071
Country : US
Telephone Number : 503-657-1483
Fax Number :
Provider Business Practice Location Address
First Line : 1839 MOLALLA AVE
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4071
Country : US
Telephone Number : 503-657-1483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 04/28/2017

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