DR. MARISSA MARLENE DUTRA PHARMD NPI 1477000818

NPI Information

NPI: 1477000818
Provider Name: DR. MARISSA MARLENE DUTRA, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1330 GOLDFISH FARM RD SE
ALBANY, OR
ZIP 97322
Phone: (541) 971-4062
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DR. Marissa Marlene Dutra, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Albany, OR. The provider is 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. DR. Marissa Marlene Dutra, PHARMD NPI is 1477000818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1330 GOLDFISH FARM RD SE
ALBANY, OR
ZIP 97322-154
Phone: (541) 971-4062
Fax: (541) 971-4053

The enumeration date for this NPI number is 9/1/2016 and was last updated on 3/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		15560	OREGON	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0015560	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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