Individual
DR. KRISTINE ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3250
(503) 418-3330
Mailing address
10101 SE MAIN ST STE 1001, PORTLAND, OR 97216-2456
(503) 346-6410
(503) 346-6360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014863
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014863
OR
Other
Enumeration date
08/19/2015
Last updated
03/03/2025
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