Provider Demographics
NPI:1093338980
Name:WORTHY, BRIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:WORTHY
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 1:16250 PACIFIC HWY UNIT 45
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-4009
Mailing Address - Country:US
Mailing Address - Phone:478-954-7288
Mailing Address - Fax:
Practice Address - Street 1:1123 N HAYDEN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7547
Practice Address - Country:US
Practice Address - Phone:503-205-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH0017698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist