Provider Demographics
NPI:1558836734
Name:RYGNESTAD, MIREILLE KATNIESS (PHARMD)
Entity type:Individual
Prefix:
First Name:MIREILLE
Middle Name:KATNIESS
Last Name:RYGNESTAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1791 SE ENSIGN LN
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-7410
Mailing Address - Country:US
Mailing Address - Phone:503-861-0146
Mailing Address - Fax:
Practice Address - Street 1:1791 SE ENSIGN LN
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:OR
Practice Address - Zip Code:97146-7410
Practice Address - Country:US
Practice Address - Phone:503-861-0146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60871080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist