NPI 1144018094

Amanda Khamsouthavong, PHARMD

Practitioner Pharmacist The Dalles, OR

Practice location

Address: 1700 E 19th St, The Dalles, OR 97058-3317
Phone: (541) 296-7526

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0020259 (OR)

Other Pharmacist providers in Oregon →

Registry record

NPI: 1144018094
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2025
Record last updated: 5 May 2025

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.