Provider Demographics
NPI:1669655379
Name:MURCH, BRIAN ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ANDREW
Last Name:MURCH
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 1:12575 SW WALKER RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1306
Mailing Address - Country:US
Mailing Address - Phone:503-646-2423
Mailing Address - Fax:503-646-5094
Practice Address - Street 1:12575 SW WALKER RD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1306
Practice Address - Country:US
Practice Address - Phone:503-646-2423
Practice Address - Fax:503-646-5094
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050446183500000X
WAPH60185111183500000X
OR0013421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist