Provider Demographics
NPI:1104370246
Name:CUMMISKEY, BRITTANY (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:CUMMISKEY
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 1:21785 SW BERKSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9213
Mailing Address - Country:US
Mailing Address - Phone:618-514-9652
Mailing Address - Fax:
Practice Address - Street 1:16200 SW PACIFIC HWY
Practice Address - Street 2:#E
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-4053
Practice Address - Country:US
Practice Address - Phone:503-639-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0014752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist