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NPI Code Detail

MEDICARE: ASHA BIRMINGHAM PHARMD

MEDICARE: ASHA BIRMINGHAM 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0015478OR
21835C0205XCritical Care PharmacistRPH-0015478OR

General Provider Information

NPI Number : 1265074538
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA BIRMINGHAM PHARMD
Provider Business Mailing Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 08/09/2022

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Directions to “ ASHA BIRMINGHAM PHARMD” Practice Location

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