Kristin M Hart, PHARMD

Individual provider Active NPI Ambulatory Care Pharmacist · Sandy, OR

NPI 1710354576 · NPPES record last updated Dec 13, 2017

Key facts

NPI
1710354576
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
RPH-0016035 (OR)
Practice address
36860 Industrial Way
Sandy, OR 97055-7371
Phone
(503) 826-0206
NPI assigned
Aug 27, 2015
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP450056PAMDPharmacist
RPH-0016035ORMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP450056 PA
Ambulatory Care Pharmacist 1835P2201X RPH-0016035 OR Yes

Addresses

Primary practice location

36860 Industrial Way
Sandy, OR 97055-7371

Mailing address

36860 Industrial Way
Sandy, OR 97055-7371

Other providers in Sandy, OR

All providers in Sandy, OR · Ambulatory Care Pharmacist in Oregon

Sources for this page

Verify at the official NPI Registry.