IndividualActive
Matthew Backer, PHARM D
NPI 1295735314 · Pharmacist · Chiloquin, OR
Provider details
- NPI number
- 1295735314
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Male
- License
- 11103 (NE)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
330 Chiloquin Blvd
Chiloquin, OR 97624-6773
Phone: (800) 552-6290
Approximate (ZIP-level) locationGet directions
Mailing address
3949 S 6th St
Klamath Falls, OR 97603-4746
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.