VANESSA J TEDISCH


Address: 1046 6th Ave Sw, Albany, OR 97321-1916
Phone: 5418124730

VANESSA J TEDISCH (NPI# 1184067167) 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) 1184067167
Entity Type Individual
Full Name VANESSA J TEDISCH
Practice Address 1046 6th Ave Sw
Albany
OR 97321-1916
Mailing Address 3247 Indian Wells Loop S
Salem
OR 97302-9679
Practice Telephone 5418124730
Practice Fax Number 5418124719
Mailing Telephone 5416660586
Enumeration Date 2013-04-09
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014213 OR Pharmacy Service Providers

Office Location

Street Address 1046 6TH AVE SW
City ALBANY
State OR
Zip Code 97321-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659341386 Leo Cytrynbaum Internal Medicine 1046 6th Ave Sw, Albany, OR 97321-1916 2006-01-25
1881217818 Christine Nelson Occupational Therapist 1046 6th Ave Sw, Albany, OR 97321-1916 2020-05-26
1982245452 Cheryl Ann Hanslovan Pharmacist 1046 6th Ave Sw, Albany, OR 97321-1916 2019-10-04
1073163408 Rebecca Riley Moyes Registered Nurse 1046 6th Ave Sw, Albany, OR 97321-1916 2019-09-17
1811547250 Jason Da Johnson Registered Nurse 1046 6th Ave Sw, Albany, OR 97321-1916 2019-09-17
1548810989 Kenneth Nealy Registered Nurse 1046 6th Ave Sw, Albany, OR 97321-1916 2019-09-17
1215596101 Mitchell V Prunk Physical Therapist 1046 6th Ave Sw, Albany, OR 97321-1916 2019-06-13
1376107250 Kevin Christopher Bolen Specialist/Technologist, Other 1046 6th Ave Sw, Albany, OR 97321-1916 2019-04-26
1902367527 Ashley Biegler Nurse Anesthetist, Certified Registered 1046 6th Ave Sw, Albany, OR 97321-1916 2019-03-27
1124583604 Brooke Danielle Duncan Dietitian, Registered 1046 6th Ave Sw, Albany, OR 97321-1916 2019-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730659228 Waverly Assisted Living, LLC In Home Supportive Care 2853 Salem Ave Se Ste A, Albany, OR 97321 2018-11-28
1558838706 Greater Albany Public Schools 8j Local Education Agency (LEA) 718 Seventh Ave. Sw, Albany, OR 97321 2018-10-25
1396232237 Chiho Sakamoto Gunton Social Worker 227 Sw 3rd Avenue, Albany, OR 97321 2018-04-17
1700333184 Albany General Hospital Clinic/Center 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 2016-09-02
1811373772 Katrin M Ridge Pharmacist 1010 7th Ave. Sw., Albany, OR 97321 2015-08-03
1720485527 Heartsong Counseling Counselor 425 Sw 2nd Ave. #203, Albany, OR 97321 2014-11-24
1619386604 Courtney Ann Miller Dentist 2815 Willetta St, Suite A-1, Albany, OR 97321 2014-08-05
1346664810 Jeffrey Othniel Nordtvedt Case Manager/Care Coordinator 2730 Sw Pacific Boulevard, Albany, OR 97321 2014-02-05
1174872022 Albany General Hospital Internal Medicine 631 Southwest Elm Street, Suite 200, Albany, OR 97321 2012-09-06
1144594532 Russell Travis Pharmacist 1177 Waverly Dr, Albany, OR 97321 2012-03-02
Find all providers in zip 97321

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811373772 Katrin M Ridge Pharmacist 1010 7th Ave. Sw., Albany, OR 97321 2015-08-03
1982245452 Cheryl Ann Hanslovan Pharmacist 1046 6th Ave Sw, Albany, OR 97321-1916 2019-10-04
1760960801 Sara Evanko Pharmacist 2272 Santiam Hwy Se, Albany, OR 97322-5205 2018-07-31
1346748712 Jan Matherne Lantrip Pharmacist 29148 South Montpelier Ave, Albany, LA 70711-0328 2018-01-31
1154867810 Chelsea Bond Pharmacist 400 Hickory St Nw, Albany, OR 97321-1700 2017-01-18
1982076022 Jeremy Boyd Theobald Pharmacist 1010 7th Ave Sw, Albany, OR 97321-1922 2015-10-28
1902296544 Esther Chon Pharmacist 12 Jupiter Ln, Albany, NY 12205-6918 2015-02-04
1679832927 Tiffany Gitt Pharmacist 1700 Geary St Se, Albany, OR 97322-6842 2012-05-07
1487977955 Colby Mitchell Pharmacist 43 New Scotland Ave, Mc85, Albany, NY 12208-3412 2010-03-11
1477885119 Cheryl Mann Krenn Pharmacist 12 Jupiter Ln, Albany, NY 12205-6918 2010-02-05
Find all providers in ALBANY

Competitor

Search similar providers

City ALBANY
Zip Code 97321

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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