Provider Demographics
NPI:1114234846
Name:PAREKH, BHAVITA R
Entity Type:Individual
Prefix:
First Name:BHAVITA
Middle Name:R
Last Name:PAREKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14600 SW MURRAY SCHOLLS DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9712
Mailing Address - Country:US
Mailing Address - Phone:503-579-1878
Mailing Address - Fax:
Practice Address - Street 1:14600 SW MURRAY SCHOLLS DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9712
Practice Address - Country:US
Practice Address - Phone:503-579-1878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0010525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist