Provider Demographics
NPI:1891172433
Name:BOFFING, JULIE L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:L
Last Name:BOFFING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85708 PARKWAY ROAD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97455
Mailing Address - Country:US
Mailing Address - Phone:541-520-0838
Mailing Address - Fax:
Practice Address - Street 1:85708 PARKWAY ROAD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:OR
Practice Address - Zip Code:97455
Practice Address - Country:US
Practice Address - Phone:541-520-0838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR68351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist