Provider Demographics
NPI:1518354208
Name:REINAUER, WHITNEY ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:ANDREW
Last Name:REINAUER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2868 NW WARDWAY ST
Mailing Address - Street 2:APT 8
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-5360
Mailing Address - Country:US
Mailing Address - Phone:503-887-1907
Mailing Address - Fax:
Practice Address - Street 1:19075 NW TANASBOURNE DR STE 210
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5866
Practice Address - Country:US
Practice Address - Phone:503-941-3807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0014208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist