Individual
KIMBERLEE LYNN SCHUTTPELZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
414 SW 6TH ST, GRANTS PASS, OR 97526-2810
(541) 476-4262
(541) 474-1443
Mailing address
6410 W EVANS CREEK RD, ROGUE RIVER, OR 97537-4613
(541) 476-4262
(541) 474-1443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9107
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
ORRPH9107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9107
RPH LICENSE NUMBER
OR
Enumeration date
03/08/2012
Last updated
10/01/2018
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