Provider Demographics
NPI:1922347368
Name:COURTRIGHT, JAMI D (RPH)
Entity Type:Individual
Prefix:MS
First Name:JAMI
Middle Name:D
Last Name:COURTRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:JAMI
Other - Middle Name:DENISE
Other - Last Name:CAPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1776 SW MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1715
Mailing Address - Country:US
Mailing Address - Phone:503-224-1044
Mailing Address - Fax:503-621-2235
Practice Address - Street 1:703 NE HANCOCK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3955
Practice Address - Country:US
Practice Address - Phone:503-230-9875
Practice Address - Fax:503-331-2677
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-3892183500000X, 183500000X
ORRPH-0010966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500709484Medicaid