Provider Demographics
NPI:1508114307
Name:CAWLEY, PAULINE ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:ANN
Last Name:CAWLEY
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 1:665 NE GOLDIE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-2120
Mailing Address - Country:US
Mailing Address - Phone:503-863-1110
Mailing Address - Fax:503-352-7270
Practice Address - Street 1:222 SE 8TH AVE
Practice Address - Street 2:SUITE 451
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4218
Practice Address - Country:US
Practice Address - Phone:503-863-1110
Practice Address - Fax:503-352-7270
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0011263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist