Teresa Anne Bowen, RPH

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Eugene, OR

NPI 1225394166 · NPPES record last updated Dec 15, 2015

Key facts

NPI
1225394166
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
008635 (OR)
Practice address
311 Coburg Rd
Eugene, OR 97401-6109
Phone
(541) 342-7893
Fax
(541) 334-0253
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
0008635ORMDPharmacist
008635ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0008635 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 008635 OR Yes

Addresses

Primary practice location

311 Coburg Rd
Eugene, OR 97401-6109

Mailing address

311 Coburg Rd
Eugene, OR 97401-6109
Phone (541) 342-7893

Other providers in Eugene, OR

All providers in Eugene, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.