FRED MEYER


Address: 11565 Sw Pacific Hwy, Tigard, OR 97223-8845
Phone: 5032937085

FRED MEYER (NPI# 1083081905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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

Other Data Sources

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
Oklahoma Business Registrations FRED MEYER JEWELERS, INC. 3800 Se 22nd Ave, Portland, OR 97202

Office Location

Street Address 11565 SW PACIFIC HWY
City TIGARD
State OR
Zip Code 97223-8845

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City TIGARD
Zip Code 97223

Improve Information

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Dataset Information

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.

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