Provider Demographics
NPI:1538161955
Name:CAUFFIELD, JACINTHA STALL (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:JACINTHA
Middle Name:STALL
Last Name:CAUFFIELD
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:MS
Other - First Name:JACINTHA
Other - Middle Name:MARIE
Other - Last Name:STALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 NE MOTHER JOSEPH PLACE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664
Mailing Address - Country:US
Mailing Address - Phone:360-514-2060
Mailing Address - Fax:
Practice Address - Street 1:400 NE MOTHER JOSEPH PL
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3200
Practice Address - Country:US
Practice Address - Phone:360-514-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30611183500000X
WAPH00057767183500000X
DC2981171835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric