Provider Demographics
NPI:1457451023
Name:LINSCOTT, ANN LARAE (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:LARAE
Last Name:LINSCOTT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 HOLDER LN SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-1946
Mailing Address - Country:US
Mailing Address - Phone:503-584-1922
Mailing Address - Fax:
Practice Address - Street 1:1922 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1021
Practice Address - Country:US
Practice Address - Phone:503-362-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist