PEARCE ENGELDER (NPI# 1548781206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548781206 |
| Entity Type | Individual |
| Full Name | PEARCE ENGELDER |
| Credential | PHARMD |
| Practice Address |
9000 N Lombard St Portland OR 97203 |
| Mailing Address |
9000 N Lombard St Portland OR 97203-3006 |
| Practice Telephone | 5039885308 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0015991 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH60665805 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHARMACIST LICENSE | PH60665805 | 01 |
| OR | PHARMACIST LICENSE | RPH-0015991 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3653 Se 34th Ave, Portland, OR 972023034 | 5039885423 |
| Street Address |
9000 N LOMBARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609824754 | Karen M Erde | Family Medicine | 9000 N Lombard St, Portland, OR 97203-3006 | 2006-05-04 |
| 1003433418 | Liwen Shimata | Pharmacist | 9000 N Lombard St, Portland, OR 97203-3006 | 2020-07-01 |
| 1699392332 | Brady Armstrong | Pharmacy Technician | 9000 N Lombard St, Portland, OR 97203-3006 | 2020-06-29 |
| 1336783190 | Breanna Nicole Baraff | Nurse Practitioner | 9000 N Lombard St, Portland, OR 97203-3006 | 2019-11-04 |
| 1821647140 | Sayali Kulkarni | Nurse Practitioner | 9000 N Lombard St, Portland, OR 97203-3006 | 2019-09-09 |
| 1508220476 | Lary Asa Turner | Counselor | 9000 N Lombard St, Portland, OR 97203-3006 | 2016-04-07 |
| 1265728802 | Anna Pierzchala | Family Medicine | 9000 N Lombard St, Portland, OR 97203-3006 | 2011-06-22 |
| 1497050801 | Brooks Robert Gaston | Registered Nurse | 9000 N Lombard St, Portland, OR 97203-3006 | 2011-01-14 |
| 1750695961 | Rachel Ann Collins | Nurse Practitioner | 9000 N Lombard St, Portland, OR 97203-3006 | 2010-07-29 |
| 1598095531 | Leslie Ann Gellert | Social Worker | 9000 N Lombard St, Portland, OR 97203-3006 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| Find all providers in zip 97203 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
| 1790176006 | Jacob Tang | Pharmacist | 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 | 2015-02-09 |
| 1902211196 | Danit Chetron | Pharmacist | 2323 Sw Caldew St, Portland, OR 97219-2618 | 2014-06-25 |
| 1023350881 | Joey Goren Degrood | Pharmacist | 9044 Sw Rystadt Ln, Portland, OR 97225-2851 | 2013-03-20 |
| 1831435213 | James L Huang | Pharmacist | 300 N Graham St Ste 200, Portland, OR 97227 | 2012-12-12 |
| 1972853331 | Sharon Leigh | Pharmacist | 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1649544107 | Ryan Bradley | Pharmacist | 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 | 2012-03-01 |
| Find all providers in PORTLAND | ||||
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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.