MS. REBECCA JANETTE LIDEL (NPI# 1255303749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255303749 |
| Entity Type | Individual |
| Full Name | MS. REBECCA JANETTE LIDEL |
| Credential | RPH |
| Practice Address |
17323 Sw Jay Street Apt. 303 Beaverton OR 97003 |
| Practice Telephone | 4062411824 |
| Mailing Telephone | 4062411824 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2937 | MT | Pharmacy Service Providers |
| Street Address |
17323 SW JAY STREET APT. 303 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| 1972950574 | Neighborhood Health Center | Dentist | 1841 Sw Merlo Dr, Beaverton, OR 97003 | 2016-05-24 |
| Find all providers in zip 97003 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244749 | Sohrob Yavari | Pharmacist | 14742 Sw Scholls Ferry Rd, Beaverton, OR 97007-9108 | 2018-11-19 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| 1316348428 | Christopher Lau | Pharmacist | 12855 Sw Barlow Rd, Beaverton, OR 97008-5181 | 2014-09-08 |
| 1275968455 | Michael L Garcia | Pharmacist | 14856 Sw Conor Cir, Beaverton, OR 97006-5893 | 2013-09-06 |
| 1720338759 | Aman Patel | Pharmacist | 210 Sw Edgeway Drive, #j382, Beaverton, OR 97006 | 2012-09-18 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| 1104199876 | Chamnan Ing | Pharmacist | 4750 Sw Western Ave, Beaverton, OR 97005-3431 | 2012-02-10 |
| 1902122377 | Barbara Ellen Nye | Pharmacist | 15005 Nw Blaze Ter, Beaverton, OR 97006-5784 | 2010-04-10 |
| 1841523750 | Jenny Thuy Phan Yee | Pharmacist | 14600 Sw Murray Scholls Dr Ste 102, Beaverton, OR 97007-9712 | 2009-09-09 |
| 1811154974 | Jordianne Orallo Balan | Pharmacist | 16029 Nw Joscelyn St, Beaverton, OR 97006-7261 | 2008-05-16 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on MS. REBECCA JANETTE LIDEL.
| 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.