NPI 1003190315

Walter Mathis, PHARMD

Practitioner Pharmacist Ontario, OR

Practice location

Address: 65 SE Goodfellow St, Ontario, OR 97914-3016
Phone: (541) 889-6288
Fax: (541) 889-5675

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0012637 (OR)

Other Pharmacist providers in Oregon →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence P6524 (ID)

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 5302 (MT)

Registry record

NPI: 1003190315
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.