Provider Demographics
NPI:1063798510
Name:KLAUSMAN, CHRISTINE ELIZABETH (RPH)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:KLAUSMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25444 S HWY 213 BOX 945
Mailing Address - Street 2:
Mailing Address - City:MULINO
Mailing Address - State:OR
Mailing Address - Zip Code:97042
Mailing Address - Country:US
Mailing Address - Phone:206-372-1203
Mailing Address - Fax:503-794-5528
Practice Address - Street 1:13130 SE 84TH AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9733
Practice Address - Country:US
Practice Address - Phone:503-794-5520
Practice Address - Fax:503-794-5528
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00016681183500000X
OR00138981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist