Provider Demographics
NPI:1700163938
Name:MCKAY, AMBER (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:MCKAY
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 1:25691 SE STARK ST
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-3305
Mailing Address - Country:US
Mailing Address - Phone:503-667-9003
Mailing Address - Fax:503-667-9513
Practice Address - Street 1:7500 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6426
Practice Address - Country:US
Practice Address - Phone:503-591-0997
Practice Address - Fax:503-642-5747
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0012789183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist