KRISTIN KRUSKAMP PHARMD NPI 1679017081

NPI Information

NPI: 1679017081
Provider Name: KRISTIN KRUSKAMP, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
9800 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (186) 628-0080
Get Directions

Kristin Kruskamp, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Clackamas, 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. Kristin Kruskamp, PHARMD NPI is 1679017081. 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:

9800 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-750
Phone: (186) 628-0080

The enumeration date for this NPI number is 12/5/2016 and was last updated on 4/28/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		RPH-0015691	OREGON	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH-0015691	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RPH-0015691	OTHER	OREGON	PHARMD

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

NPI Synchronization or Removal

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