Provider Demographics
NPI:1508518093
Name:MACH-MERRILL, CHRISTINE ANH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE ANH
Middle Name:
Last Name:MACH-MERRILL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 S PALATINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-7979
Mailing Address - Country:US
Mailing Address - Phone:714-657-9389
Mailing Address - Fax:
Practice Address - Street 1:1991 S PALATINE HILL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-7979
Practice Address - Country:US
Practice Address - Phone:714-657-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0014409183500000X
NY053335-01183500000X
CA60184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist