Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP KOTLYAREVSKIY, PHARM D
ActivePharmacist Clinician (PhC) · TIGARD, OR
Registration Details
- NPI Number
- 1346830643
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2021 (5.2563723778275 yrs)
- Last Updated
- Jan 20, 2021
- Licenses
-
0018247 (OR)0018247 (OR)
Practice Information
- Address
-
7320 SW HUNZIKER RD STE 300TIGARD, OR, 972232302Browse OR providers · Browse ZIP 97223
- Phone
- 5039413033
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist
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 |
| WANIDA SURICHAMORN | RPH | 1265704050 |
| 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.