Wichterman, Tara Michelle
Wichterman, Tara Michelle is an individual health care provider with primary practice located at 1804 Columbia Blvd , Saint Helens OR 97051-1733. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wichterman, Tara Michelle can be contacted via phone (503) 397-5555.Contact Information
Primary practice address
1804 Columbia Blvd
Saint Helens OR 97051-1733
Phone: (503) 397-5555
Fax: (503) 397-5441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH-0014232 | Oregon |
Profile Details
| NPI number | 1427467075 |
|---|---|
| LBN Legal business name | Wichterman, Tara Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2014 |
| Last updated | Aug 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427467075 | NPPES |
| Other | RPH-0014232 | RPH LICENSE |
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