Provider Demographics
NPI:1497126593
Name:BARR, ALEXIS JEAN RIVA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JEAN RIVA
Last Name:BARR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:JEAN
Other - Last Name:RIVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ST. CHARLES HEALTH SYSTEM
Mailing Address - Street 2:2500 NE NEFF RD.
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701
Mailing Address - Country:US
Mailing Address - Phone:541-706-2900
Mailing Address - Fax:541-685-6652
Practice Address - Street 1:ST. CHARLES HEALTH SYSTEM
Practice Address - Street 2:2500 NE NEFF RD.
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-706-2900
Practice Address - Fax:541-685-6652
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-14324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist