IndividualActive
Jaden Kolas, CPHT
NPI 1114593589 · Pharmacy Technician · Corvallis, OR
Provider details
- NPI number
- 1114593589
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
- License
- CPT-0013323 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2080 Nw 9th St
Corvallis, OR 97330-1484
Phone: (541) 753-2226
Approximate (ZIP-level) locationGet directions
Mailing address
2080 Nw 9th St
Corvallis, OR 97330-1484
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.