TARA PFAFF (NPI# 1053840330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053840330 |
| Entity Type | Individual |
| Full Name | TARA PFAFF |
| Credential | FNP-BC |
| Practice Address |
36860 Industrial Way Sandy OR 97055 |
| Mailing Address |
36860 Industrial Way Sandy OR 97055-7371 |
| Practice Telephone | 5038260206 |
| Mailing Telephone | 5038260206 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201405290NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DO NOT HAVE (NEED NPI TO GET MEDICAID ID) | 00 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36860 Industrial Way, Sandy, OR 97055 | 5038260206 | |
| 6464 Sw Borland Rd, Tualatin, OR 970628876 | 5036806792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962736769 | Tara Patrice Pfaff | Counselor | 4750 Hollister Ave, Santa Barbara, CA 93110-1921 | 2009-09-25 |
| Street Address |
36860 INDUSTRIAL WAY |
| City | SANDY |
| State | OR |
| Zip Code | 97055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456053 | Eric Eugene Swiridoff | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2005-06-10 |
| 1710354576 | Kristin M Hart | Pharmacist | 36860 Industrial Way, Sandy, OR 97055-7371 | 2015-08-27 |
| 1730472192 | Legacy Clinics LLC | Clinic/Center | 36860 Industrial Way, Sandy, OR 97055-7371 | 2011-05-18 |
| 1336371517 | Deryk Mark Zinser | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2009-08-20 |
| 1538330816 | Claudia M Peterson | Nurse Practitioner | 36860 Industrial Way, Sandy, OR 97055-7371 | 2008-03-14 |
| 1750563946 | Marie Juliette Budesa | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2007-11-29 |
| 1740287945 | Sara A Buse | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2005-07-01 |
| 1336143932 | Stephen Frank Nicholson | Family Medicine | 36860 Industrial Way, Sandy, OR 97055-7371 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1447595020 | Russell Roy Cross | Pharmacist | 16625 326nd Ave, Sandy, OR 97055 | 2012-12-07 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1760539092 | Tammy Ann Nicodemus | Massage Therapist | 38916 Proctor Blvd, Sandy, OR 97055 | 2007-01-05 |
| Find all providers in zip 97055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162192 | Spencer Barton | Nurse Practitioner | 524 E 10735 S, Sandy, UT 84070-6020 | 2019-12-23 |
| 1053954727 | Insight Family Practice LLC | Nurse Practitioner | 8686 S 1300 E Ste L102l104, Sandy, UT 84094-1947 | 2019-10-24 |
| 1043861214 | Benjamin Zachariah Rollins | Nurse Practitioner | 476 E Mingo Park Dr, Sandy, UT 84070-2409 | 2019-09-27 |
| 1992356240 | Melissa Radcliffe | Nurse Practitioner | 10985 S State St, Sandy, UT 84070-4102 | 2019-09-26 |
| 1922659929 | Laura Nicole Holden | Nurse Practitioner | 8836 S Greenwich Ln, Sandy, UT 84093-1675 | 2019-09-23 |
| 1205486420 | Zhan Wang | Nurse Practitioner | 9948 S Glacier Ridge Dr, Sandy, UT 84092-4288 | 2019-09-19 |
| 1043860737 | Deana Marie Busch | Nurse Practitioner | 8899 S 700 E Ste 250, Sandy, UT 84070-1813 | 2019-09-16 |
| 1982252318 | Shawna Nicole Heaps | Nurse Practitioner | 770 E Rose Cottage Way, Sandy, UT 84094-1259 | 2019-08-28 |
| 1235786146 | Shelby Elaine Miller | Nurse Practitioner | 11340 S State St, Sandy, UT 84070-5145 | 2019-08-25 |
| 1992273551 | Don Howard Sorensen Jr. | Nurse Practitioner | 9970 S Eastdell Dr, Sandy, UT 84092-4140 | 2018-11-12 |
| Find all providers in SANDY | ||||
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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.