Provider Demographics
NPI:1225387442
Name:CAROLINO, CHRISTINE CLAIRE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:CLAIRE
Last Name:CAROLINO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:CLAIRE
Other - Last Name:BOFFING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6754 SW ASHDALE DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-1347
Mailing Address - Country:US
Mailing Address - Phone:541-517-1906
Mailing Address - Fax:
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:503-402-2946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013284183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORRPH-0013284OtherOREGON BOARD OF PHARMACY