MR. GORDON JIN WONG (NPI# 1568515781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568515781 |
| Entity Type | Individual |
| Full Name | MR. GORDON JIN WONG |
| Credential | R.PH. |
| Practice Address |
3710 Sw Us Veterans Hospital Road Portland OR 97239 |
| Mailing Address |
4075 Sw 107th Ave Apt 13 Beaverton OR 97005-3255 |
| Practice Telephone | 5032208262 |
| Mailing Telephone | 5036465576 |
| Enumeration Date | 2007-01-19 |
| 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 | 36389 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1306047964 | Gordon Wong | Dentist | 1818 Taraval St, San Francisco, CA 94116-2311 | 2007-05-30 |
| 1447338447 | Gordon G Wong | Optometrist | 7825 Fay Ave Ste 140, La Jolla, CA 92037-4247 | 2006-11-01 |
| 1063596211 | Gordon C Wong | Pharmacist | 155 Heritage Ave, Clovis, CA 93619-7612 | 2006-10-24 |
| 1336243732 | Gordon Wong | Dentist | 401 E 21st St, Oakland, CA 94606-1914 | 2006-09-07 |
| 1417949942 | Gordon Miles Wong | Optometrist | 66 E Washington St, Petaluma, CA 94952-3165 | 2005-08-19 |
| 1710987433 | Gordon Wong | Pharmacist | 16630 Marquez Ave, Pacific Palisades, CA 90272-3233 | 2005-07-22 |
| 1437656980 | Gordon Xuefeng Wong | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-04-11 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1902138787 | Gordon K Wong | Social Worker | 1038 Post St, San Francisco, CA 94109-5603 | 2010-02-04 |
| Street Address |
3710 SW US VETERANS HOSPITAL ROAD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699736645 | Kerry Noelle Rhyne | Internal Medicine | 3710 Sw Us Veterans Hospital Road, P3-med, Portland, OR 97239 | 2006-03-29 |
| 1003375551 | Rebecca X Casanova | Social Worker | 3710 Sw Us Veterans Hospital Road, P3mhc, Portland, OR 97239 | 2019-03-14 |
| 1992273346 | Kelly Ann Smith | Dietitian, Registered | 3710 Sw Us Veterans Hospital Road, Portland, OR 97239-2964 | 2018-11-04 |
| 1306198346 | Mary Newgard Benson | Nurse Practitioner | 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2012-10-15 |
| 1407123219 | Kathleen Ann Fuglee | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Road, Primary Care Room F 120, Portland, OR 97207-1034 | 2011-11-22 |
| 1457645962 | Cathy Olbrich-tenney | Social Worker | 3710 Sw Us Veterans Hospital Road, Vamc/p35c, Portland, OR 97207 | 2011-06-01 |
| 1417257759 | Kathleen A Frederick | Counselor | 3710 Sw Us Veterans Hospital Road, Portland, OR 97207 | 2010-11-02 |
| 1194812800 | Barbara Lee Trentadue | Physical Therapy Assistant | 3710 Sw Us Veterans Hospital Road, Portland, OR 97207-1034 | 2006-10-06 |
| 1447344015 | Erin Kathleen Bookout | Speech-Language Pathologist | 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1548353527 | Karen Emi Inaba | Nurse Practitioner | 3710 Sw Us Veterans Hospital Road, Mail Code P3 Gp1 Gpsy Portland Veterans Affairs Medical, Portland, OR 97239 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| 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 |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| 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.