Provider Demographics
NPI:1508564006
Name:MACGREGOR, LORI FELLER (PHARMD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:FELLER
Last Name:MACGREGOR
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 1:2578 NE 2ND DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-2398
Mailing Address - Country:US
Mailing Address - Phone:503-887-9993
Mailing Address - Fax:
Practice Address - Street 1:2578 NE 2ND DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-2398
Practice Address - Country:US
Practice Address - Phone:503-887-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist