NPI 1679124903 · live from the CMS NPI Registry
Jade Elizabeth Adkisson, RPh
Pharmacist in Beaverton, OR. National Provider Identifier 1679124903, active.
NPI record
| NPI | 1679124903 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008 |
| Practice phone | 503-346-3370 |
| Mailing address | 12850 Sw Hart Rd, Beaverton, OR 97008 |
| Enumerated | September 27, 2019 |
| Last updated | September 27, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacist primary | 183500000X | 0007620 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.