Provider Demographics
NPI:1992285373
Name:DASELER, MARGARET SHARON (PHARMD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SHARON
Last Name:DASELER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:S
Other - Last Name:DASELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:301 SW LINCOLN ST APT 1302
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5032
Mailing Address - Country:US
Mailing Address - Phone:850-572-3720
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123982183500000X
ORRPH-00174401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist