Kotlyarevskiy, Phillip

Kotlyarevskiy, Phillip is an individual health care provider with primary practice located at 7320 Sw Hunziker Rd Ste 300 , Tigard OR 97223-2302. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Kotlyarevskiy, Phillip can be contacted via phone (503) 941-3033.

Contact Information

Primary practice address
7320 Sw Hunziker Rd Ste 300 Tigard OR 97223-2302
Phone: (503) 941-3033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0018247 Oregon
Pharmacy Service Providers / Pharmacist 183500000X 0018247 Oregon

Profile Details

NPI number 1346830643
LBN Legal business name Kotlyarevskiy, Phillip
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 3 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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