MR. PETER J WONG (NPI# 1477677987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477677987 |
| Entity Type | Individual |
| Full Name | MR. PETER J WONG |
| Credential | RPH |
| Practice Address |
14625 Sw Allen Blvd Beaverton OR 97007-3600 |
| Mailing Address |
Po Box 667 Banks OR 97106-0667 |
| Practice Telephone | 5036432724 |
| Mailing Telephone | 5036213604 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8536 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995241 | Peter Wong | Substance Abuse Rehabilitation Facility | 4714 Broomtail Ct, Antioch, CA 94531-9305 | 2016-11-28 |
| 1790238426 | Peter Wong | Marriage & Family Therapist | 5150 Sunrise Blvd Ste H1, Fair Oaks, CA 95628-4966 | 2016-07-29 |
| 1104229970 | Peter Wong | Pharmacist | 899 Sir Winston St, Henderson, NV 89052-4959 | 2014-10-07 |
| 1154493070 | Peter J Wong | Internal Medicine | 601 Pavonia Avenue, Suite 301, Jersey City, NJ 07306 | 2006-11-15 |
| 1992806533 | Peter S Wong | Dentist | 12715 Bel Red Rd, Ste 202, Bellene, WA 98005 | 2006-09-26 |
| 1952344509 | Peter Wong | Surgery | 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 | 2006-06-13 |
| 1811971567 | Peter J Wong | Obstetrics & Gynecology | 200 Banning Street, Suite 320, Dover, DE 19904 | 2005-12-05 |
| 1649702598 | Peter Wong | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-30 |
| 1154860849 | Peter Wong | Dentist | 18519 Devonshire St, Northridge, CA 91324 | 2017-02-15 |
| 1952663932 | Peter Lap Kei Wong | Obstetrics & Gynecology | 128 Mott Street Suite 501, New York, NY 10013-5041 | 2012-06-14 |
| Street Address |
14625 SW ALLEN BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417432568 | William Wyatt Decker | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2018-09-25 |
| 1275059289 | Adam Davis | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2017-08-22 |
| 1255876108 | Janet Lee | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2017-01-02 |
| 1780092478 | Steven Tran | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2014-07-26 |
| 1699183491 | Nguyen Truong | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2014-07-25 |
| 1922437490 | Karen Claud | Pharmacist | 14625 Sw Allen Blvd, Suite 101, Beaverton, OR 97007-3697 | 2013-11-05 |
| 1003159575 | Diane Pham | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2013-04-02 |
| 1457644031 | Saleem Ahmad | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2011-05-16 |
| 1669605309 | Jennifer P Hua | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2009-08-28 |
| 1457504474 | Christopher Vorrath | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3697 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| 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 | ||||
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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.