Provider Demographics
NPI:1720765993
Name:MASLO, KATELYN ROSE CASHMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:ROSE CASHMAN
Last Name:MASLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATELYN
Other - Middle Name:ROSE
Other - Last Name:CASHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:900 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-1387
Mailing Address - Country:US
Mailing Address - Phone:541-963-1472
Mailing Address - Fax:541-963-1862
Practice Address - Street 1:900 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-1387
Practice Address - Country:US
Practice Address - Phone:541-963-1472
Practice Address - Fax:541-963-1862
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00173641835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy