Provider Demographics
NPI:1457635054
Name:KARTCHNER, NATALIE L (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:L
Last Name:KARTCHNER
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 1:940 DALKE RIDGE CT NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4837
Mailing Address - Country:US
Mailing Address - Phone:801-372-3855
Mailing Address - Fax:
Practice Address - Street 1:1010 HAWTHORNE AVE SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-5090
Practice Address - Country:US
Practice Address - Phone:503-371-8739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-01
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0012682183500000X
ORORRPH00126821835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist