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DR. KRISTINE ETHRIDGE PHARM.D.
NPI 1477929958
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since August 19, 2015
3930 SE DIVISION ST, PORTLAND, OR 97202(503) 418-3250(503) 418-3330 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Nov 18, 2016, Dec 14, 2015 (3 updates tracked since 2015).

About Dr. Kristine Ethridge Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTINE ETHRIDGE PHARM.D. (NPI 1477929958) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (RPH-0014863) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1477929958
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. KRISTINE ETHRIDGECredential: PHARM.D.
Location Address3930 SE DIVISION STPortland, OR 97202-1643
Mailing Address10101 Se Main St Ste 1001Portland, OR 97216-2456 · (503) 346-6410 · Fax (503) 346-6360
Phone(503) 418-3250
Fax(503) 418-3330
Sole ProprietorYes
Enumeration DateAugust 19, 2015
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1477929958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · RPH-0014863
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License RPH-0014863 (OR)
3930 SE DIVISION ST, Portland, OR 97202
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN MARIE VIEHMANN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3250
JEANENE ANN SMITH MD
Family Medicine
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3900
CARI BAUGH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3250
MADELEINE SANFORD FNP
Nurse Practitioner (Family)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3900
ALLISON FOXX PA-C
Physician Assistant (Medical)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3900
JENNIFER SCHLOBOHM LICSW
Social Worker (Clinical)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3900
MYONG PENNY O CSWA
Counselor (Mental Health)
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-8248
SMRITI OHRI MD
Family Medicine
3930 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 418-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Ethridge's NPI number?

The NPI number for Kristine Ethridge is 1477929958. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Kristine Ethridge located?

Kristine Ethridge practices at 3930 SE Division St, Portland, OR 97202. The listed phone number is (503) 418-3250.

What is Kristine Ethridge's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kristine Ethridge was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.