Provider Demographics
NPI:1013673706
Name:NEUHAUS, ALICIA JUNE (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:JUNE
Last Name:NEUHAUS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:MISS
Other - First Name:ALICIA
Other - Middle Name:JUNE
Other - Last Name:LOUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPHT
Mailing Address - Street 1:2000 CASCADE DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-3568
Mailing Address - Country:US
Mailing Address - Phone:541-231-7888
Mailing Address - Fax:
Practice Address - Street 1:530 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-5223
Practice Address - Country:US
Practice Address - Phone:541-766-6835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician