DR. KELLY CHRISTINE WHITE (NPI# 1124109293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109293 |
| Entity Type | Individual |
| Full Name | DR. KELLY CHRISTINE WHITE |
| Credential | PHARMD |
| Practice Address |
1590 E 13th Ave Eugene OR 97403 |
| Mailing Address |
265 Foxtail Dr Eugene OR 97405-4034 |
| Practice Telephone | 5413464454 |
| Practice Fax Number | 5413462749 |
| Mailing Telephone | 5639408520 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20454 | IA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 051.291211 | IL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0016396 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861073 | Kelly Marie White | Private Vehicle | 4498 King Arthur Dr, Uniontown, OH 44685-9646 | 2020-11-02 |
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1710518493 | Kelly White | Counselor | 44 Cooper St Ste 109, Woodbury, NJ 08096-4642 | 2020-01-30 |
| 1437796711 | Kelly White | Nurse Practitioner | 11344 S 83rd East Ave, Bixby, OK 74008-2408 | 2019-12-05 |
| 1518432061 | Kelly White | Counselor | 1417 Nw 54th St Ste 441, Seattle, WA 98107-3561 | 2018-10-11 |
| 1396273801 | Kelly Grace White | Social Worker | 41 Spruce St, Northford, CT 06472-1437 | 2017-05-28 |
| 1619404118 | Kelly White | Registered Nurse | N7382 Beaver Bay Dr, Beaver Dam, WI 53916-9532 | 2017-05-15 |
| 1619333036 | Kelly White | Social Worker | 7200 Gumwood Ln, Raleigh, NC 27615-5615 | 2016-01-14 |
| 1801261292 | Kelly H White | Counselor | 604 Highway 80 W Ste R, Clinton, MS 39056-4108 | 2015-12-10 |
| 1790178580 | Kelly White | Social Worker | 210 N Gilmor St Apt B, Baltimore, MD 21223-1732 | 2015-03-18 |
| Street Address |
1590 E 13TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891770673 | Thomas Francis Ryan | General Practice | 1590 E 13th Ave, University Health Center, Eugene, OR 97403-1232 | 2005-12-14 |
| 1700445988 | Anna Elizabeth Weaver | Massage Therapist | 1590 E 13th Ave, Eugene, OR 97403 | 2019-06-11 |
| 1083199038 | Kendall Thornton | Psychologist | 1590 E 13th Ave, Eugene, OR 97403 | 2018-09-26 |
| 1982097374 | Jingqing Liu | Psychologist | 1590 E 13th Ave, Counseling and Testing Center, Eugene, OR 97403 | 2015-03-10 |
| 1578986170 | Carolyn Jackson | Physical Therapist | 1590 E 13th Ave, Eugene, OR 97403 | 2014-02-03 |
| 1861822264 | Caroline A W Wolfram | Pharmacist | 1590 E 13th Ave, Eugene, OR 97403 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| 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 |
|---|---|---|---|---|
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1447522347 | Sheri Cannell | Pharmacist | 1515 Oak St., Eugene, OR 97401 | 2012-02-08 |
| 1154800589 | Jody Lynn Coburn | Pharmacist | 1560 Coburg Rd, Eugene, OR 97401-4802 | 2018-08-07 |
| 1467823625 | Julie Dewsnup | Pharmacist | 1232 University of Oregon, Eugene, OR 97403-1205 | 2015-10-14 |
| 1447620976 | Marie Dorsey | Pharmacist | 1966 Garden Ave, Eugene, OR 97403-1933 | 2015-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 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 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| 1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KELLY CHRISTINE WHITE.
| 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.