DR. JENELL LYN HENSON


Address: 11565 Sw Pacific Hwy, Tigard, OR 97223-8845
Phone: 5032937085

DR. JENELL LYN HENSON (NPI# 1629084496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629084496
Entity Type Individual
Full Name DR. JENELL LYN HENSON
Credential PHARMD
Practice Address 11565 Sw Pacific Hwy
Tigard
OR 97223-8845
Mailing Address 17275 Sw Rivendell Dr
Portland
OR 97224-7626
Practice Telephone 5032937085
Mailing Telephone 5035473143
Enumeration Date 2006-07-31
Last Update Date 2017-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RPH-0011267 OR Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0011267 OR Pharmacy Service Providers

Office Location

Street Address 11565 SW PACIFIC HWY
City TIGARD
State OR
Zip Code 97223-8845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063458925 Fred Meyer Stores Inc Pharmacy 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 2006-06-21
1083081905 Fred Meyer Clinic/Center 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 2015-08-26
1821438557 Wendy Koga Pharmacist 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 2013-06-26
1881030922 Stewart James Monsey Jr. Pharmacist 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 2013-05-16
1457691727 Christian Yee Pharmacist 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 2013-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760042618 Tess Ivie Manso Counselor 8915 Degrees Center St, Tigard, OR 97223 2019-06-13
1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1417425034 Patience Marie Rutto Counselor 8915 Sw Center Streret, Tigard, OR 97223 2018-11-13
1871089581 Marina E Menegol Behavioral Analyst Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 2018-07-05
1215423165 Katherine Virginia Eichner Psychologist 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 2018-07-03
1043717390 Rayna Donnelly Physician Assistant 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 2018-04-11
1376059725 Kaylie Marilyn Reyes Behavioral Analyst 9115 Sw Oleson Road, Portland, OR 97223 2017-12-21
1841704004 Kathleen Terrell Taylor Occupational Therapist 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 2017-11-27
1487163036 Susie Riess Counselor 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 2017-09-27
1043731243 Tam Nguyen Optometrist 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 2017-06-28
Find all providers in zip 97223

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124577135 Jayme Ryan Johnston Pharmacist 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 2016-10-03

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City TIGARD
Zip Code 97223

Improve Information

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Dataset Information

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.

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