Ethridge, Kristine

Ethridge, Kristine is an sole proprietor health care provider with primary practice located at 3930 Se Division St , Portland OR 97202-1643. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Ethridge, Kristine can be contacted via phone (503) 418-3250.

Contact Information

Primary practice address
3930 Se Division St Portland OR 97202-1643
Phone: (503) 418-3250
Fax: (503) 418-3330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0014863 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0014863 Oregon

Profile Details

NPI number 1477929958
LBN Legal business name Ethridge, Kristine
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Nov 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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