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NPI Code Detail

MEDICARE: DR. CHINWE UKACHI MADU PHARMD, CSWA

MEDICARE: DR. CHINWE UKACHI MADU PHARMD, CSWA
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
11041C0700XClinical Social Worker23320CA
21041C0700XClinical Social WorkerA14660OR
3183500000XPharmacistRPH-85522CA
4183500000XPharmacistRPH-0017579OR
51835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0017579OR

General Provider Information

NPI Number : 1780852566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHINWE UKACHI MADU PHARMD, CSWA
Provider Business Mailing Address
First Line : 5441 S MACADAM AVE STE N
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3822
Country : US
Telephone Number : 503-609-0801
Fax Number :
Provider Business Practice Location Address
First Line : 11740 SW 68TH PKWY STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-9058
Country : US
Telephone Number : 971-352-6971
Fax Number : 971-352-6984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 04/22/2026

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