Elissa Michelle Poillon, CPHT

Individual provider Active NPI Pharmacy Technician · Wheeler, OR

NPI 1972120202 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1972120202
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
CPT-0002057 (OR)
Practice address
230 Rowe Rd
Wheeler, OR 97147-0035
Phone
(844) 715-2999
Fax
(844) 715-3299
NPI assigned
Jul 2, 2020
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

LicenseStateTypeSpecialty
CPT-0002057ORMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPT-0002057 OR Yes

Addresses

Primary practice location

230 Rowe Rd
Wheeler, OR 97147-0035

Mailing address

10431 Blackwell Rd
Central Point, OR 97502-9658
Phone (541) 613-7632

Other providers in Wheeler, OR

All providers in Wheeler, OR · Pharmacy Technician in Oregon

Sources for this page

Verify at the official NPI Registry.