Provider Demographics
NPI:1952392169
Name:TOUCHETTE, BRETT N (RPH, CGP)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:N
Last Name:TOUCHETTE
Suffix:
Gender:M
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15315 SE BARLOW CT
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:OR
Mailing Address - Zip Code:97089-8732
Mailing Address - Country:US
Mailing Address - Phone:971-645-2849
Mailing Address - Fax:
Practice Address - Street 1:15315 SE BARLOW CT
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:OR
Practice Address - Zip Code:97089-8732
Practice Address - Country:US
Practice Address - Phone:971-645-2849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0008362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist