Doctor Name: | PEGGY L NELSON |
NPI Number: | 1205835733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH |
License Number: | 9243 |
Business Practice Address: | 3957 N Hampton Ct West Linn, OR - 970683781 |
Business Phone Number: | 5039755589 |
Business Fax Number: | |
Mailing Address: | 4137 Ne 132nd Ave, PORTLAND |
State: | OR |
Postal Code: | 972301428 |
Phone Number: | 5419519950 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 9243 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |