PROVIDENCE NEWBERG PHARMACY (NPI# 1154729119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154729119 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE NEWBERG PHARMACY |
| Practice Address |
1001 Providence Dr Newberg OR 97132-7485 |
| Practice Telephone | 5035371798 |
| Practice Fax Number | 5035371813 |
| Mailing Telephone | 5035371798 |
| Mailing Fax Number | 5035371813 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | MS. LORI VANZANTEN (CEO) |
| Authorized Official Telephone | 5035371798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
OR | Hospitals |
| Street Address |
1001 PROVIDENCE DR |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-7485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840822 | Jeffrey D Disney | Emergency Medicine | 1001 Providence Dr, Dept of Emergency Medicine, Newberg, OR 97132-7485 | 2005-06-13 |
| 1588121966 | Michelle Brannen Geffert | Physician Assistant | 1001 Providence Dr, Newberg, OR 97132-7485 | 2019-02-21 |
| 1801376595 | Bradley Jon Kountz Speer | Physical Medicine & Rehabilitation | 1001 Providence Dr, Newberg, OR 97132-7485 | 2018-08-21 |
| 1174074868 | Providence Health & Services Oregon | Anesthesiology | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-10-18 |
| 1477002160 | Amy Beth Tzou | Pharmacist | 1001 Providence Dr, Attn: Pharmacy, Newberg, OR 97132-7485 | 2016-09-23 |
| 1861845331 | Heidi Thomason | Dietitian, Registered | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-07-19 |
| 1124481346 | Eliot D Hill | Internal Medicine | 1001 Providence Dr, Newberg, OR 97132-7485 | 2016-04-04 |
| 1427425818 | Ian Ledford | Internal Medicine | 1001 Providence Dr, Newberg, OR 97132-7485 | 2015-09-01 |
| 1174901854 | Andrea Banke | Physician Assistant | 1001 Providence Dr, Emergency Department, Newberg, OR 97132-7485 | 2015-05-13 |
| 1174940050 | Cameron Saffer | Emergency Medicine | 1001 Providence Dr, Newberg, OR 97132-7485 | 2014-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669766457 | Peacehealth | General Acute Care Hospital | 787 Woodland Acres Ln, Eugene, OR 97402-9378 | 2011-06-09 |
| 1811130149 | Sky Lakes Medical Center | General Acute Care Hospital | 5471 Glenridge Way, Klamath Falls, OR 97603-3954 | 2009-04-16 |
| 1306842752 | Mid-columbia Medical Center | General Acute Care Hospital | 1700 E 19th St, The Dalles, OR 97058-3317 | 2005-06-21 |
| 1801241120 | Amanda Emmert | General Acute Care Hospital | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2016-04-25 |
| 1447519954 | Silverton Health | General Acute Care Hospital | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2012-05-04 |
| 1336457829 | Lee Ghorbanian | General Acute Care Hospital | 482 Lancaster Dr Ne, Salem, OR 97301-4784 | 2010-09-17 |
| 1508174285 | Lee Ghorbanian I Ltd | General Acute Care Hospital | 13908 Se Stark St, Space B, Portland, OR 97233-2161 | 2010-09-16 |
| 1265747331 | John J. Lee Dds PC | General Acute Care Hospital | 12755 Sw 2nd St, Suite A, Beaverton, OR 97005-2767 | 2010-08-13 |
| 1053583377 | Jennifer M. Soyke, M.d., P.C. | General Acute Care Hospital | 2700 Stewart Parkway, Mercy Medical Center Emergency Department, Roseburg, OR 94740 | 2008-03-26 |
| 1275728206 | North Bend Medical Center | General Acute Care Hospital | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2007-09-12 |
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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.