Provider Demographics
NPI:1477038016
Name:SCHMOTTLACH REUTER, JENIFER (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:
Last Name:SCHMOTTLACH REUTER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 SE EMERALD CT
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OR
Mailing Address - Zip Code:97391-2112
Mailing Address - Country:US
Mailing Address - Phone:603-568-7269
Mailing Address - Fax:
Practice Address - Street 1:4041 NW LOGAN RD
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-5054
Practice Address - Country:US
Practice Address - Phone:541-994-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0016897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist