Provider Demographics
NPI:1104297993
Name:MCMASTER, CATHY ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19880 SE RINEARSON DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-6974
Mailing Address - Country:US
Mailing Address - Phone:701-391-1125
Mailing Address - Fax:
Practice Address - Street 1:19880 SE RINEARSON DR
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-6974
Practice Address - Country:US
Practice Address - Phone:701-391-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0015060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist