NICOLE POLLOCK


Address: 4855 Sw Western Ave, Beaverton, OR 97005-3460
Phone: 5033502434

NICOLE POLLOCK (NPI# 1346782794) 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) 1346782794
Entity Type Individual
Full Name NICOLE POLLOCK
Credential RPH
Practice Address 4855 Sw Western Ave
Beaverton
OR 97005-3460
Mailing Address 8017 Sw Larch St
Portland
OR 97223-5839
Practice Telephone 5033502434
Mailing Telephone 5037022792
Enumeration Date 2016-11-15
Last Update Date 2016-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60290431 WA Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9866 OR Pharmacy Service Providers

Office Location

Street Address 4855 SW WESTERN AVE
City BEAVERTON
State OR
Zip Code 97005-3460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407827694 Jennifer Mae Soyke Family Medicine 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 2006-01-27
1043857105 Reagan Ravanzo Blanco Dental Assistant 4855 Sw Western Ave, Beaverton, OR 97005-3460 2019-12-06
1144866591 Asela Agtay Wells Dental Assistant 4855 Sw Western Ave, Beaverton, OR 97005-3460 2019-11-20
1851935969 Rosilyn Ricard Dental Assistant 4855 Sw Western Ave, Beaverton, OR 97005-3460 2019-10-31
1063074789 Blake Mcconnell Student in an Organized Health Care Education/Training Program 4855 Sw Western Ave, Beaverton, OR 97005-3460 2019-07-02
1154886877 Sarah Elizabeth Anderson Mills Dental Assistant 4855 Sw Western Ave, Beaverton, OR 97005-3460 2019-02-06
1023506219 Amanda Ellen Koonce Student in an Organized Health Care Education/Training Program 4855 Sw Western Ave, Beaverton, OR 97005-3460 2018-04-24
1285142802 Tiffani O'neill Counselor 4855 Sw Western Ave, Beaverton, OR 97005-3460 2018-01-17
1912438953 Dia Hazra Pediatrics 4855 Sw Western Ave, Beaverton, OR 97005-3460 2017-03-22
1083166219 Kaiser Foundation Health Plan of The Northwest Dentist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945053 Krista Lowe Schimmelbusch Student in an Organized Health Care Education/Training Program 12730 Sw 3rd St., Beaverton, OR 97005 2020-06-05
1346882578 Mireya Elissa Nunez I Counselor 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 2019-10-09
1548816879 Logan James Patzlaff Behavior Technician 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-08-13
1528521424 Alex Taylor Foerman Behavior Technician 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-04-09
1285193003 Hazelnut Dental LLC Clinic/Center 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 2019-03-19
1992286348 Kathryn Wallner Counselor 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 2018-08-23
1699265058 Meaghan Mikulic Social Worker 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 2018-05-11
1629568936 Aimee J Nelson Massage Therapist 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 2018-05-11
1093221780 Ember Dahl Massage Therapist 12655 Sw Center St Ste 530, Beaverton, OR 97005 2017-12-18
1033667456 Andre Vo Pharmacist 2575 Sw Walker Rd, Beaverton, OR 97005 2016-09-14
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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
1386196814 Isabel Kang Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-11-01
1972054328 Wendy Shields Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-10-20
1639629363 Donna Huynh Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-10-05
1174071021 Brian Joseph Delplanche Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-09-20
1710344791 Kenneth Cahoon Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2016-01-21
1568800068 Patrick Gallaher Pharmacist 4855 Sw Western Ave., Beaverton, OR 97005-1913 2013-06-06
1356525752 Andrew Scott Westhora Pharmacist 4855 Sw Western Ave, Beaverton, OR 97005-3460 2007-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194385674 Joseph Lee Combee Pharmacist 4956 Sw Aster St, Corvallis, OR 97333-1367 2019-06-17
1538627377 Jacquelyn Jessica Lansing Pharmacist 33190 Bloomberg Rd, Eugene, OR 97405-9609 2019-03-12
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
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Competitor

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City BEAVERTON
Zip Code 97005

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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