Individual
ELAINE ALEXXA GEARHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14700 SE DIVISION ST, PORTLAND, OR 97236-2381
(503) 762-4403
Mailing address
3930 SE POWELL BLVD, PORTLAND, OR 97202-1722
(503) 772-4440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0020681
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0020681
OR
Other
Enumeration date
10/13/2025
Last updated
11/25/2025
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