DR. LOANN M WONG (NPI# 1013269448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013269448 |
| Entity Type | Individual |
| Full Name | DR. LOANN M WONG |
| Credential | PHARMD |
| Practice Address |
5119 Ne 57th Ave Portland OR 97218-2584 |
| Mailing Address |
3988 Nw Craig Dr Beaverton OR 97006-7293 |
| Practice Telephone | 5032159910 |
| Mailing Telephone | 5035319468 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
8049 | OR | Pharmacy Service Providers |
| Street Address |
5119 NE 57TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-2584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673893 | Hillary Brooke Hotelling | Internal Medicine | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2006-03-14 |
| 1205454436 | Sarah Lynn Craig | Registered Nurse | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2020-07-14 |
| 1932753092 | Kimberly Ann Lucas | Registered Nurse | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2019-07-27 |
| 1619452596 | Daniel Nicholas Childs | Licensed Practical Nurse | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2018-09-26 |
| 1356886071 | Michael Manning | Licensed Practical Nurse | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2017-01-04 |
| 1326581620 | Dana K Morris | Social Worker | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2016-11-18 |
| 1295278588 | Sheila Jean Walker | Social Worker | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2016-11-18 |
| 1801246780 | Heidi Barth | Physical Therapy Assistant | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2016-06-21 |
| 1801246590 | Tami C. Buswell | Occupational Therapy Assistant | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2016-06-14 |
| 1043622145 | Margaret Thiele | Social Worker | 5119 Ne 57th Ave, Portland, OR 97218-2584 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
| 1790176006 | Jacob Tang | Pharmacist | 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 | 2015-02-09 |
| 1902211196 | Danit Chetron | Pharmacist | 2323 Sw Caldew St, Portland, OR 97219-2618 | 2014-06-25 |
| 1023350881 | Joey Goren Degrood | Pharmacist | 9044 Sw Rystadt Ln, Portland, OR 97225-2851 | 2013-03-20 |
| 1831435213 | James L Huang | Pharmacist | 300 N Graham St Ste 200, Portland, OR 97227 | 2012-12-12 |
| 1972853331 | Sharon Leigh | Pharmacist | 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1649544107 | Ryan Bradley | Pharmacist | 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 | 2012-03-01 |
| Find all providers in PORTLAND | ||||
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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.