Kimberly Ann Bryan, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Corvallis, OR
NPI 1669013603 · NPPES record last updated Oct 5, 2019
Key facts
- NPI
- 1669013603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH-0010270 (OR)
- Practice address
- 3600 NW Samaritan Dr
Good Samaritan Hospital Inpatient Pharmacy
Corvallis, OR 97330-3737 - Phone
- (541) 768-5111
- NPI assigned
- Oct 1, 2019
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010270 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0010270 | OR | Yes |
Addresses
Primary practice location
3600 NW Samaritan Dr
Good Samaritan Hospital Inpatient Pharmacy
Corvallis, OR 97330-3737
Mailing address
2010 Black Bear Ave SW
Albany, OR 97321-3764
Phone (541) 768-5111
Other providers in Corvallis, OR
- Adriana M. Brune
- Rachel K Bruner
- Payton Alec Bruton
- Marijke L Brutsaert
- Kadi-Ann Bryan
- Pete Bryant
- Zach Bryant
- Noah Tyler Bryce
- Gage Aaron Bryers
- BSM Surgery Center LLC
All providers in Corvallis, 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 Oct 5, 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.