IndividualActive
Lindsay Fredericks, PHARM D
NPI 1003185802 · Pharmacist · Tigard, OR
Provider details
- NPI number
- 1003185802
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11082 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
9009 Sw Hall Blvd
T-0345
Tigard, OR 97223-4432
Phone: (503) 639-3446
Fax: (503) 639-3446
Approximate (ZIP-level) locationGet directions
Mailing address
9009 Sw Hall Blvd
Tigard, OR 97223-4432
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2011-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.