Denise Burnham
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Brookings, OR
NPI 1255787669 · NPPES record last updated Aug 31, 2024
Key facts
- NPI
- 1255787669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH0007377 (OR)
- Practice address
- 325 5TH St
Brookings, OR 97415-9658 - Phone
- (503) 539-5238
- NPI assigned
- May 5, 2016
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007377 | OR | MD | Pharmacist |
| RPH0007377 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH0007377 | OR | Yes |
| Pharmacist | 183500000X | 0007377 | OR |
Addresses
Primary practice location
325 5TH St
Brookings, OR 97415-9658
Mailing address
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone (503) 576-8340
Other practice location 1
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone (503) 576-8340
Other providers in Brookings, OR
- James Edward Brown
- Elijah J Brunson
- Linda S. Brunson
- Donna Buick
- Lori A Burkart
- Hester Charlotte Burton
- Michael Duyane Burton
- Haylee C Butler
- Cal-Ore Life Flight LLC
- Sheila Campos
All providers in Brookings, 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 Aug 31, 2024. 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.