Michele Dawn Anhoury, RPH

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

NPI 1972050995 · NPPES record last updated Jan 25, 2024

Key facts

NPI
1972050995
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
9875 (OR)
Practice address
5717 NE 138TH Ave
Portland, OR 97230-3409
Phone
(503) 481-0761
NPI assigned
Sep 7, 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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9875ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9875 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 9875 OR Yes

Addresses

Primary practice location

5717 NE 138TH Ave
Portland, OR 97230-3409

Mailing address

5717 NE 138TH Ave
Portland, OR 97230-3409
Phone (888) 807-5759

Other providers in Portland, OR

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

Sources for this page

Verify at the official NPI Registry.