Provider Demographics
NPI:1285954164
Name:COSIER, DEBORAH EILEEN (RPH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:EILEEN
Last Name:COSIER
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 1:9450 SW WILSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-7585
Mailing Address - Country:US
Mailing Address - Phone:503-582-1498
Mailing Address - Fax:503-285-1589
Practice Address - Street 1:9450 SW WILSONVILLE RD
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7585
Practice Address - Country:US
Practice Address - Phone:503-582-1498
Practice Address - Fax:503-285-1589
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist