Sarah K Brattain, PHARMD
Individual provider Active NPI Pharmacist · Dallas, OR
NPI 1356824908 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1356824908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0016850 (OR)
- Practice address
- 138 W Ellendale Ave
Dallas, OR 97338-1408 - Phone
- (503) 831-6006
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| RPH-0016850 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016850 | OR | |
| Pharmacist | 183500000X | RPH-0016850 | OR | Yes |
Addresses
Primary practice location
138 W Ellendale Ave
Dallas, OR 97338-1408
Mailing address
138 W Ellendale Ave
Dallas, OR 97338-1408
Phone (503) 831-6006
Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. 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.