FRED MEYER (NPI# 1083081905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083081905 |
| Entity Type | Organization |
| Organization Name | FRED MEYER |
| Practice Address |
11565 Sw Pacific Hwy Tigard OR 97223-8845 |
| Practice Telephone | 5032937085 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | JANAE WINDEN (PHARMACIST) |
| Authorized Official Telephone | 5032937085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1598216475 | Fred Meyer | Clinic/Center | 2200 Baseline St, Cornelius, OR 97113-8618 | 2016-10-17 |
| 1063897239 | Fred Meyer | Pharmacy | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRED MEYER & SONS INC. | 7200 North Point Rd, Baltimore, Maryland 21219 |
| Washington State Corporations | FRED MEYER EMPLOYEES FEDERAL CREDIT UNION | Conversion Po Box 16614, Portland, OR 97216 |
| Oregon Corporations, Companies and Business Names | FRED MEYER FUND | 1014 Vine St, Cincinnati, OH 45202 |
| Virginia Business Entities | FRED MEYER JEWELERS INC. | 3800 S.e. 22nd Avenue, Portland, Oregon 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS MAIL ORDER | 3800 Se 22nd Ave, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Iowa Business Entities | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Colorado Business Entities | FRED MEYER JEWELERS, INC. | 1014 Vine Street, Cincinnati, OH 45202 |
| Massachusetts Corporations | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Avenue, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER STORES, INC. | 1014 Vine Street, Cincinnati, OH 45202 |
| Street Address |
11565 SW PACIFIC HWY |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-8845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063458925 | Fred Meyer Stores Inc | Pharmacy | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2006-06-21 |
| 1821438557 | Wendy Koga | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2013-06-26 |
| 1881030922 | Stewart James Monsey Jr. | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2013-05-16 |
| 1457691727 | Christian Yee | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2013-02-25 |
| 1629084496 | Jenell Lyn Henson | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945713 | Lake Health District | Clinic/Center | 100 N D St Ste 100, Lakeview, OR 97630-1552 | 2019-01-10 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1427196500 | Multnomah County | Clinic/Center | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2007-02-02 |
| 1508904681 | Multnomah County | Clinic/Center | 6736 Ne Killingsworth St, Portland, OR 97218-3338 | 2007-02-02 |
| 1164451480 | County of Clatsop | Clinic/Center | 820 Exchange St, Suite 100, Astoria, OR 97103-4609 | 2006-06-30 |
| 1952302689 | County of Morrow | Clinic/Center | 120 S Main Street, Heppner, OR 97836 | 2005-08-03 |
| 1376900399 | Multnomah County | Clinic/Center | 12425 Ne Glisan St, Portland, OR 97230-2144 | 2016-01-21 |
| 1417357443 | Multnomah County | Clinic/Center | 209 Sw 4th Ave, Portland, OR 97204-1813 | 2014-08-27 |
| 1881037281 | Public Health Foundation of Columbia County | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2013-04-16 |
| 1023451044 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-04-09 |
| Find all providers with the same taxonomy | ||||
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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.