Provider Demographics
NPI:1023450921
Name:WEST, JESSICA LYNN (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:WEST
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 NE 158TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-1564
Mailing Address - Country:US
Mailing Address - Phone:360-852-5519
Mailing Address - Fax:
Practice Address - Street 1:300 W 15TH ST STE 203
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2911
Practice Address - Country:US
Practice Address - Phone:360-524-7182
Practice Address - Fax:360-524-7183
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-00136181835P0018X, 183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist