Stephen Hotrum, PHARMD
Individual provider Active NPI Pharmacist · Monmouth, OR
NPI 1144729013 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1144729013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14106 (OR)
- Practice address
- 444 Pacific Ave S
Monmouth, OR 97361-1543 - Phone
- (503) 838-1176
- Fax
- (866) 267-6597
- NPI assigned
- Feb 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7392 | ID | MD | Pharmacist |
| 14106 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho State University Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P7392 | ID | |
| Pharmacist | 183500000X | 14106 | OR | Yes |
Addresses
Primary practice location
444 Pacific Ave S
Monmouth, OR 97361-1543
Mailing address
2734 7TH Ave SE Apt 3
Albany, OR 97322-5006
Phone (208) 220-6291
Other practice location 1
1980 Main St
Sweet Home, OR 97386-1711
Phone (541) 818-0651
Other providers in Monmouth, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.