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DR. CAMILLE TACKETT PHARMD. NPI 1568797868


NPI Information

NPI: 1568797868
Provider Name: DR. CAMILLE TACKETT, PHARMD.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
3500 SE 26TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 797-2156
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DR. Camille Tackett, PHARMD. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Portland, 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. Camille Tackett, PHARMD. NPI is 1568797868. 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:

3500 SE 26TH AVE
PORTLAND, OR
ZIP 97202-901
Phone: (503) 797-2156

The enumeration date for this NPI number is 10/5/2009 and was last updated on 10/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistS013265ARIZONANo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0013489OREGONYes

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: 4/28/2024

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