DIANE PHAM (NPI# 1003159575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003159575 |
| Entity Type | Individual |
| Full Name | DIANE PHAM |
| Credential | PHARM.D. |
| Practice Address |
14625 Sw Allen Blvd Beaverton OR 97007-3697 |
| Practice Telephone | 7142049190 |
| Mailing Telephone | 7142049190 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH0013429 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538799820 | Diane Pham | Registered Nurse | 3403 S Main St Unit K, Santa Ana, CA 92707-4325 | 2020-01-25 |
| 1225507080 | Diane Pham | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-21 |
| 1427222991 | Diane Huy Pham | Dentist | 516 Oronoco St, Alexandria, VA 22314-2306 | 2008-04-16 |
| 1861540890 | Diane Vi Pham | Family Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| Street Address |
14625 SW ALLEN BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-3697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477677987 | Peter J Wong | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2007-03-19 |
| 1417432568 | William Wyatt Decker | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2018-09-25 |
| 1275059289 | Adam Davis | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2017-08-22 |
| 1255876108 | Janet Lee | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2017-01-02 |
| 1780092478 | Steven Tran | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2014-07-26 |
| 1699183491 | Nguyen Truong | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2014-07-25 |
| 1922437490 | Karen Claud | Pharmacist | 14625 Sw Allen Blvd, Suite 101, Beaverton, OR 97007-3697 | 2013-11-05 |
| 1457644031 | Saleem Ahmad | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2011-05-16 |
| 1669605309 | Jennifer P Hua | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2009-08-28 |
| 1457504474 | Christopher Vorrath | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2008-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244749 | Sohrob Yavari | Pharmacist | 14742 Sw Scholls Ferry Rd, Beaverton, OR 97007-9108 | 2018-11-19 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| 1316348428 | Christopher Lau | Pharmacist | 12855 Sw Barlow Rd, Beaverton, OR 97008-5181 | 2014-09-08 |
| 1275968455 | Michael L Garcia | Pharmacist | 14856 Sw Conor Cir, Beaverton, OR 97006-5893 | 2013-09-06 |
| 1720338759 | Aman Patel | Pharmacist | 210 Sw Edgeway Drive, #j382, Beaverton, OR 97006 | 2012-09-18 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| 1104199876 | Chamnan Ing | Pharmacist | 4750 Sw Western Ave, Beaverton, OR 97005-3431 | 2012-02-10 |
| 1902122377 | Barbara Ellen Nye | Pharmacist | 15005 Nw Blaze Ter, Beaverton, OR 97006-5784 | 2010-04-10 |
| 1841523750 | Jenny Thuy Phan Yee | Pharmacist | 14600 Sw Murray Scholls Dr Ste 102, Beaverton, OR 97007-9712 | 2009-09-09 |
| 1811154974 | Jordianne Orallo Balan | Pharmacist | 16029 Nw Joscelyn St, Beaverton, OR 97006-7261 | 2008-05-16 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.