REBECCA ELIZABETH BLACK (NPI# 1619286390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619286390 |
| Entity Type | Individual |
| Full Name | REBECCA ELIZABETH BLACK |
| Credential | PHARMD |
| Practice Address |
3300 Se Dwyer Dr Suite 304 Milwaukie OR 97222-6548 |
| Mailing Address |
1448 Buck St West Linn OR 97068-2706 |
| Practice Telephone | 5035138343 |
| Mailing Telephone | 8012444481 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
8957 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467880666 | Rebecca Sarah Rose Black | Speech-Language Pathologist | 10119 Ne 14th St, Vancouver, WA 98664-3003 | 2013-10-24 |
| 1134344856 | Rebecca Susan Black | Speech-Language Pathologist | 269 Glendale Ct, Avon, IN 46123-7143 | 2007-04-16 |
| 1801414016 | Rebecca Elaine Black | Speech-Language Pathologist | 4722 Riverstone Blvd, Missouri City, TX 77459-4723 | 2020-07-14 |
| 1003381070 | Rebecca Ruth Black | Counselor | 16333 Hafer Rd, Houston, TX 77090-4412 | 2018-10-05 |
| 1336387885 | Rebecca Black | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2009-01-21 |
| 1033232657 | Rebecca Black | Speech-Language Pathologist | 901 Somerby Dr, Mobile, AL 36695-3490 | 2007-04-09 |
| 1629134895 | Rebecca Black | Speech-Language Pathologist | 4330 Highway 78 E, Suite 118, Jasper, AL 35501-8905 | 2006-12-29 |
| 1518036763 | Rebecca M Black | Psychologist | 20 West Park St, Suites 416 and 219, Lebanon, NH 03766 | 2006-11-06 |
| 1225131691 | Rebecca E Black | Registered Nurse | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-09-07 |
| 1720030257 | Rebecca A. Black | Physical Therapist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2006-05-16 |
| Street Address |
3300 SE DWYER DR SUITE 304 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700038437 | Janice Lynn Belknap | Pharmacist | 3300 Se Dwyer Dr, Annex Bldg Suite #304, Milwaukie, OR 97222-6548 | 2008-10-13 |
| 1518323187 | Sze Ming Li | Pharmacist | 3300 Se Dwyer Dr, Ste 304, Milwaukie, OR 97222-6548 | 2016-01-12 |
| 1053727636 | Providence Health & Services - Oregon | Clinic/Center | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2014-07-03 |
| 1699101394 | Kristen M Gallaway | Dental Hygienist | 3300 Se Dwyer Dr, Ste 302, Milwaukie, OR 97222-6548 | 2013-09-25 |
| 1053690412 | Cynthia Hankins | Pharmacist | 3300 Se Dwyer Dr, Annex Building, Suite #304, Milwaukie, OR 97222-6548 | 2011-08-16 |
| 1477860559 | Wendy J Eckhart | Pharmacist | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1518323187 | Sze Ming Li | Pharmacist | 3300 Se Dwyer Dr, Ste 304, Milwaukie, OR 97222-6548 | 2016-01-12 |
| 1053690412 | Cynthia Hankins | Pharmacist | 3300 Se Dwyer Dr, Annex Building, Suite #304, Milwaukie, OR 97222-6548 | 2011-08-16 |
| 1477860559 | Wendy J Eckhart | Pharmacist | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 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 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| 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.