Active NPI
Christine Elizabeth Klausman, RPH
- Pharmacist
- Clackamas, OR
National Provider Identifier
1063798510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016681
- Practice address
- 13130 SE 84TH Ave
Clackamas, OR 97015-9733 - Phone
- (503) 794-5520
- Fax
- (503) 794-5528
- NPI assigned
- Oct 28, 2011
- Last updated
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00016681 | WA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0013898 | OR |
Addresses
Primary practice location
13130 SE 84TH Ave
Clackamas, OR 97015-9733
Mailing address
25444 S Hwy 213 Box 945
Mulino, OR 97042
Phone (206) 372-1203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00016681 | WA | MD | Pharmacist |
| 0013898 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1063798510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25444 S HWY 213 BOX 945",
"city": "MULINO",
"state": "OR",
"postal_code": "97042",
"telephone_number": "206-372-1203",
"fax_number": "503-794-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13130 SE 84TH AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159733",
"telephone_number": "503-794-5520",
"fax_number": "503-794-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAUSMAN",
"first_name": "CHRISTINE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016681",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0013898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.