Provider Demographics
NPI:1194098285
Name:ZACHER, BRIAN M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:M
Last Name:ZACHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 SW QUINAULT LN
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7303
Mailing Address - Country:US
Mailing Address - Phone:503-830-2232
Mailing Address - Fax:
Practice Address - Street 1:7700 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-2101
Practice Address - Country:US
Practice Address - Phone:503-203-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11967183500000X
ORRPH-00119671835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist