Provider Demographics
NPI:1477860559
Name:ECKHART, WENDY J (PHARMD)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:J
Last Name:ECKHART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:KLAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3300 SE DWYER DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-6548
Mailing Address - Country:US
Mailing Address - Phone:503-513-8343
Mailing Address - Fax:503-513-8049
Practice Address - Street 1:3300 SE DWYER DR
Practice Address - Street 2:SUITE 304
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-6548
Practice Address - Country:US
Practice Address - Phone:503-513-8343
Practice Address - Fax:503-513-8351
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0011251-P1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist