DR. TAYLOR MARTIN (NPI# 1255850434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850434 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR MARTIN |
| Credential | RPH |
| Practice Address |
9900 Se Sunnyside Rd Clackamas OR 97015-9777 |
| Practice Telephone | 5035719058 |
| Mailing Telephone | 5035719058 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0016222 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0016222 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 93-0798201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11565 Sw Pacific Hwy, Tigard, OR 972238845 | (503) 293-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
| 1144717364 | Taylor Brooke Martin | Dental Assistant | 15526 Mac Arthur Dr, North Little Rock, AR 72118-1593 | 2018-04-13 |
| 1720694359 | Taylor Martin | Speech-Language Pathologist | 3801 Morningside Dr Ne, Albuquerque, NM 87110-1013 | 2020-09-18 |
| 1568009546 | Taylor Martin | Behavior Technician | 1048 Wildwood Centre Dr, Columbia, SC 29229-8420 | 2019-12-09 |
| 1932765476 | Taylor Dwain Martin | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Jjl 450, Houston, TX 77030-1501 | 2019-05-09 |
| 1154883098 | Taylor Martin | Student in an Organized Health Care Education/Training Program | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2019-04-01 |
| 1639642168 | Taylor Martin | Counselor | 1105 General Mouton Ave, Lafayette, LA 70501-8529 | 2019-01-08 |
| 1215431309 | Taylor Montana Martin | Military Health Care Provider | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2018-03-22 |
| 1083126304 | Taylor M. Martin | Social Worker | 990 Illinois St, Plymouth, IN 46563-3622 | 2017-10-26 |
| 1699293522 | Taylor Martin | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2017-08-30 |
| Street Address |
9900 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982675690 | Tony S Clinton | Dermatology | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 | 2006-01-30 |
| 1700395811 | Jeffrey Ha Nguyen | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2017-09-21 |
| 1386189595 | Darin Ferry | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-12-23 |
| 1720530058 | Kaiser Foundation Health Plan of The Northwest | General Practice | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-11-03 |
| 1912458944 | Kimberly Brownell | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-10-14 |
| 1487104956 | Sze Wing Ngan | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-10-10 |
| 1740738327 | Frederick R Engelmann | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-09-13 |
| 1215483680 | Clifford Stephens | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-08-26 |
| 1235594896 | Celeste Richardson | Physician Assistant | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 | 2015-12-28 |
| 1265804421 | Tracy Barton | Pharmacist | 9900 Se Sunnyside Rd, Sunnybrook Medical Office, Infectious Disease Departmen, Clackamas, OR 97015-9777 | 2015-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1982989562 | Kate Stelly Jelline | Pharmacist | 16000 Se Evelyn St, Clackamas, OR 97015-9519 | 2011-10-14 |
| 1588965602 | Cameron J Mccarthy | Pharmacist | 16800 Se Evelyn St, Clackamas, OR 97015-9512 | 2010-11-04 |
| 1881225241 | Jocelyn Mason | Pharmacist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-02-03 |
| 1023535895 | Karyn Nafey | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2017-08-23 |
| 1386189595 | Darin Ferry | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-12-23 |
| 1649715947 | Nora E Lee | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-12-22 |
| 1891247797 | Christopher Curtis Caswell | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-10-26 |
| 1518419555 | Janene Tamborello | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-10-25 |
| 1366993776 | Donna Jean Touchette | Pharmacist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2016-10-20 |
| 1912458944 | Kimberly Brownell | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-10-14 |
| Find all providers in CLACKAMAS | ||||
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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.