Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACI LYNN PETERS, PHARMD
Active Sole ProprietorDR. TRACI LYNN PETERS, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in GRESHAM, Oregon. NPI 1134926520 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · GRESHAM, OR
Registration Details
- NPI Number
- 1134926520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2025 (1.5101676055416 yrs)
- Last Updated
- Feb 25, 2025
- Licenses
-
IND-908853 (OR)RPH-0009623 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24988 SE STARK ST STE 320GRESHAM, OR, 970308325Browse OR providers · Browse ZIP 97030
- Phone
- 5036741229
- Fax
- 5036741169
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JASON ANTHONY SMITH | PHARM.D. | 1659686392 |
| RODNEY WHITESIDE | — | 1306146485 |
| MICHAEL WONG | — | 1538468889 |
| DR. GABRIEL TUCKER BERTELL | PHARMD | 1467725432 |
| RUSSELL A WENDT | RPH | 1992061048 |
| AMANDA RUTH NORMAN | — | 1891052700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.