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Walter Mathis, PHARMD — NPI 1003190315, Ontario, OR | NPI Central

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NPI 1003190315

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Walter Mathis, PHARMD

NPI 1003190315 · Pharmacist · Ontario, OR

Provider details

NPI number: 1003190315
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: Yes
License: RPH-0012637 (OR)

Specialties & taxonomies

PharmacistPrimary183500000XLicense RPH-0012637 (OR)
Pharmacy Service Providers
Pharmacist183500000XLicense P6524 (ID)
Pharmacy Service Providers
Pharmacist183500000XLicense 5302 (MT)
Pharmacy Service Providers

Practice location

65 Se Goodfellow St

Ontario, OR 97914-3016

Phone: (541) 889-6288

Fax: (541) 889-5675

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

65 Se Goodfellow St

Ontario, OR 97914-3016

Registry dates

Enumerated: 2011-10-05
Last updated: 2011-10-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.