DEIRDRE JOHNSON (NPI# 1396061503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396061503 |
Entity Type | Individual |
Full Name | DEIRDRE JOHNSON |
Credential | PHARM.D. |
Practice Address |
17850 Lower Boones Ferry Rd Lake Oswego OR 97035-5228 |
Mailing Address |
30398 Sw Thomas St #2601 Wilsonville OR 97070-6646 |
Practice Telephone | 9712330113 |
Mailing Telephone | 5037523947 |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH-0012051 | OR | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619393188 | Deirdre Johnson | Specialist/Technologist | 5500 Dixon Dr, Raleigh, NC 27609-4202 | 2014-03-08 |
1942435326 | Deirdre Janel Johnson | Counselor | 11587 Hickory Oak Dr, Jacksonville, FL 32218-9076 | 2009-05-28 |
1467674168 | Deirdre Deanne Johnson | Social Worker | 103 Woodland St, 51 Capen St Hartford Ct 06120, Hartford, CT 06105-1233 | 2007-05-03 |
1356665418 | Deirdre Jo Johnson | Counselor | 10601 Grant Rd, Suite 114, Houston, TX 77070 | 2010-03-18 |
1952594285 | Deirdre Marie Johnson | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2007-08-21 |
1376740506 | Deirdre Renee Johnson | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553 | 2007-06-29 |
Street Address |
17850 LOWER BOONES FERRY RD |
City | LAKE OSWEGO |
State | OR |
Zip Code | 97035-5228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841232089 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2006-06-12 |
1720375884 | Brendan Ferris | Pharmacist | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2011-07-08 |
1053628503 | Kenneth Andrew Ernst | Pharmacist | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2010-09-03 |
1518273762 | Jesse Michael Gabel | Pharmacist | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2010-08-25 |
1730413527 | Diana Sakamoto | Pharmacist | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2009-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
Find all providers in zip 97035 |
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 |
---|---|---|---|---|
1720564644 | Rola Almasri | Pharmacist | 50 Kerr Pkwy Apt 91, Lake Oswego, OR 97035-8837 | 2018-07-13 |
1164824850 | Tina Huynh | Pharmacist | 17779 Lwr Boones Fry Rd, Lake Oswego, OR 97035-5237 | 2014-09-24 |
1528498870 | Khanh Thi | Pharmacist | 7 Mountain View Ln, Lake Oswego, OR 97035-1220 | 2013-11-23 |
1598109860 | Janet Louise Crooks | Pharmacist | 5285 Meadows Rd Ste 320, Lake Oswego, OR 97035-3478 | 2013-04-17 |
1285976704 | Neal N Kelly | Pharmacist | 664 3rd St, Lake Oswego, OR 97034-2348 | 2013-03-22 |
1043502644 | Charles Gutin | Pharmacist | 16303 Bryant Rd, Lake Oswego, OR 97035-4307 | 2011-05-14 |
1578854907 | Stephen Yan | Pharmacist | 18440 Delenka Ln, Lake Oswego, OR 97034-7579 | 2011-04-19 |
1760786057 | Patricia Wittke Iazzetti | Pharmacist | 6290 Alyssa Ter, Lake Oswego, OR 97035-3183 | 2011-01-01 |
1942501515 | Deborah Sue Verzasconi | Pharmacist | 17779 Sw Lower Boones Ferry Rd, Lake Oswego, OR 97035 | 2010-11-12 |
1285750281 | Robert Grimm | Pharmacist | 90 B Ave, Lake Oswego, OR 97034-3131 | 2007-03-21 |
Find all providers in LAKE OSWEGO |
City | LAKE OSWEGO |
Zip Code | 97035 |
Please comment or provide details below to improve the information on DEIRDRE JOHNSON.
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.