Provider Demographics
NPI:1669720645
Name:PASCU, CIPRIAN BOGDAN (PHARMD, CDE)
Entity type:Individual
Prefix:
First Name:CIPRIAN
Middle Name:BOGDAN
Last Name:PASCU
Suffix:
Gender:M
Credentials:PHARMD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 NW JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-4407
Mailing Address - Country:US
Mailing Address - Phone:423-833-6062
Mailing Address - Fax:
Practice Address - Street 1:1000 SE TECH CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5548
Practice Address - Country:US
Practice Address - Phone:360-487-4699
Practice Address - Fax:360-487-4670
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH00136351835P0018X
WAPH602815971835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist