FRED MEYER (NPI# 1598216475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598216475 |
| Entity Type | Organization |
| Organization Name | FRED MEYER |
| Practice Address |
2200 Baseline St Cornelius OR 97113-8618 |
| Practice Telephone | 5033593103 |
| Practice Fax Number | 5033593341 |
| Mailing Telephone | 5033593103 |
| Mailing Fax Number | 5033593341 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | LAUREN CHUN (PHARMACIST) |
| Authorized Official Telephone | 8085851193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | RPH-0015554 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1083081905 | Fred Meyer | Clinic/Center | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2015-08-26 |
| 1063897239 | Fred Meyer | Pharmacy | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRED MEYER & SONS INC. | 7200 North Point Rd, Baltimore, Maryland 21219 |
| Washington State Corporations | FRED MEYER EMPLOYEES FEDERAL CREDIT UNION | Conversion Po Box 16614, Portland, OR 97216 |
| Oregon Corporations, Companies and Business Names | FRED MEYER FUND | 1014 Vine St, Cincinnati, OH 45202 |
| Virginia Business Entities | FRED MEYER JEWELERS INC. | 3800 S.e. 22nd Avenue, Portland, Oregon 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS MAIL ORDER | 3800 Se 22nd Ave, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Iowa Business Entities | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Colorado Business Entities | FRED MEYER JEWELERS, INC. | 1014 Vine Street, Cincinnati, OH 45202 |
| Massachusetts Corporations | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Avenue, Portland, OR 97202 |
| Oklahoma Business Registrations | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Street Address |
2200 BASELINE ST |
| City | CORNELIUS |
| State | OR |
| Zip Code | 97113-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194751826 | Fred Meyer Stores Inc | Pharmacy | 2200 Baseline St, Cornelius, OR 97113-8618 | 2006-06-24 |
| 1821547787 | Lauren Chun | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2016-10-03 |
| 1184059388 | Ashley Kanda | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2013-09-06 |
| 1578801882 | John Matthew Chung | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2013-01-21 |
| 1154695443 | Rosalyn Huntington | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2012-03-04 |
| 1255604237 | Shannon Kathleen Sims | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2012-02-21 |
| 1811918949 | Sunset Vision Center | Optometrist | 2200 Baseline St, 88, Cornelius, OR 97113-8616 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
| 1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
| 1083929277 | Wal-mart Stores Inc | Technician/Technologist | 220 N Adair, Cornelius, OR 97113 | 2010-08-11 |
| 1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
| 1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
| Find all providers in zip 97113 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541255 | Dr. Gary Draper Dc Pllc | Clinic/Center | 19824 W Catawba Ave Ste E, Cornelius, NC 28031-4046 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
| 1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
| 1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
| 1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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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.