NPI 1053628503

Kenneth Andrew Ernst, RPH

Practitioner Pharmacist Lake Oswego, OR

Practice location

Address: 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228
Phone: (971) 233-0113
Mailing address: 97 Kingsgate Rd APT. E12, Lake Oswego, OR 97035-2371

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH0012176 (OR)

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Registry record

NPI: 1053628503
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2010
Record last updated: 3 Sep 2010

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.