NPI 1134791130

Kayla Ruth Wise

Practitioner Pharmacy Technician Springfield, OR

Practice location

Address: 2130 Marcola Rd, Springfield, OR 97477-2592
Phone: (541) 747-3362
Fax: (541) 741-2287
Mailing address: 2914 Chandler Ave, Eugene, OR 97403-2232

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence CPT-0012209 (OR)

Other Pharmacy Technician providers in Oregon →

Registry record

NPI: 1134791130
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2021
Record last updated: 11 Jul 2021

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.