Provider Demographics
NPI:1003090655
Name:SINGH, HARLEEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HARLEEN
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NW 9TH AVE
Mailing Address - Street 2:606
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3255
Mailing Address - Country:US
Mailing Address - Phone:502-226-1185
Mailing Address - Fax:
Practice Address - Street 1:1255 NW 9TH AVE
Practice Address - Street 2:606
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3255
Practice Address - Country:US
Practice Address - Phone:502-226-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0010328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist