IndividualActive
Amanda Whitecotten, PHARMD
NPI 1003108622 · Pharmacist · Clackamas, OR
Provider details
- NPI number
- 1003108622
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RPH-0010724 (OR)
Practice location
12002 Se Sunnyside Rd
Clackamas, OR 97015-8381
Phone: (503) 698-8446
Fax: (503) 698-5020
Mailing address
12002 Se Sunnyside Rd
Clackamas, OR 97015-8381
Registry dates
- Enumerated
- 2011-05-15
- Last updated
- 2011-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.