Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANIDA SURICHAMORN, RPH
ActivePharmacist Clinician (PhC) · TIGARD, OR
Registration Details
- NPI Number
- 1265704050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2012 (14.204330507073 yrs)
- Last Updated
- Jan 5, 2016
- Licenses
-
9494 (OR)9494 (OR)
Practice Information
- Address
-
7850 SW DARTMOUTH STTIGARD, OR, 972238401Browse OR providers · Browse ZIP 97223
- Phone
- 5036390722
- Fax
- 5036394970
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JENELL LYN HENSON | PHARMD | 1629084496 |
| MR. DARIN CARLSON | — | 1700186202 |
| KWOK S LEE | — | 1306129499 |
| PHILLIP KOTLYAREVSKIY | PHARM D | 1346830643 |
| MEGAN ELIZABETH CHIU | PHARMD | 1265199400 |
| RICHARD RAY BARLOW | — | 1437879962 |
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.