Matthew Aaron Brazer, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Eugene, OR
NPI 1073864310 · NPPES record last updated Dec 31, 2015
Key facts
- NPI
- 1073864310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 10091 (OR)
- Practice address
- 2828 Chad Dr
Eugene, OR 97408-7336 - Phone
- (541) 342-5701
- Fax
- (541) 285-2016
- NPI assigned
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10091 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10091 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10091 | OR | Yes |
Addresses
Primary practice location
2828 Chad Dr
Eugene, OR 97408-7336
Mailing address
2828 Chad Dr
Eugene, OR 97408-7336
Phone (541) 342-5701
Other providers in Eugene, OR
- Simona S Braun
- Kristi D Bray-Dragt
- Eva Christine Bray-Kipp
- Shannon Bray
- Chelsea Brazelton
- Joseph K Brazill
- Joni Marie Breaux
- Kathryne Anne Brecht
- Jesse H Breeden
- Tracy Lynn Breeden
All providers in Eugene, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.