Provider Demographics
NPI:1104023415
Name:OIEN, JANICE P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:P
Last Name:OIEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-7029
Mailing Address - Country:US
Mailing Address - Phone:360-593-0966
Mailing Address - Fax:360-748-1605
Practice Address - Street 1:551 S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3045
Practice Address - Country:US
Practice Address - Phone:360-748-8801
Practice Address - Fax:360-748-1605
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00013028183500000X
UT5119537-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist