Provider Demographics
NPI:1780118034
Name:CHAFFEY, PATRICIA JOANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JOANN
Last Name:CHAFFEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:JOANN
Other - Last Name:HARDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7932 SE ASPEN SUMMIT DR
Mailing Address - Street 2:APT 114
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-9105
Mailing Address - Country:US
Mailing Address - Phone:626-422-8889
Mailing Address - Fax:
Practice Address - Street 1:7932 SE ASPEN SUMMIT DR
Practice Address - Street 2:APT 114
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-9105
Practice Address - Country:US
Practice Address - Phone:626-422-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75657183500000X
OR0015588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist