Provider Demographics
NPI:1912244211
Name:KHIER, GEORGE NASH
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:NASH
Last Name:KHIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3053
Mailing Address - Country:US
Mailing Address - Phone:541-484-3013
Mailing Address - Fax:541-484-3023
Practice Address - Street 1:3333 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3053
Practice Address - Country:US
Practice Address - Phone:541-484-3013
Practice Address - Fax:541-484-3023
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist