MANAGED HEALTH CARE OF OREGON I LLC (NPI# 1750448130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750448130 |
| Entity Type | Organization |
| Organization Name | MANAGED HEALTH CARE OF OREGON I LLC |
| Other Organization Name | MANAGED HEALTHCARE OF OR LLC |
| Practice Address |
1825 Maple St Forest Grove OR 97116-1939 |
| Practice Telephone | 5033578442 |
| Practice Fax Number | 5039920722 |
| Mailing Telephone | 5033578442 |
| Mailing Fax Number | 5039920722 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | CHRISTOPHER VORRATH (OWNER AND MGR) |
| Authorized Official Telephone | 5033578442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
IP0001181CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 034285 | 05 | |
| PK | 2078292 | 01 |
| Other Name | Type Code |
|---|---|
| MANAGED HEALTHCARE OF OR LLC | Doing Business As Name - Organization |
| Street Address |
1825 MAPLE ST |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225066194 | Maple Street Clinic, PC | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-06-29 |
| 1598316846 | Ashley Amick | Physician Assistant | 1825 Maple St, Forest Grove, OR 97116-1939 | 2019-09-26 |
| 1942699897 | Hillary Md Lane | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2015-01-15 |
| 1609077528 | Joy Chiyo Dawn Gephart | Physician Assistant | 1825 Maple St, Forest Grove, OR 97116-1939 | 2007-05-29 |
| 1912064478 | Maple Street Clinic Pharmacy LLC | Pharmacy | 1825 Maple St, Forest Grove, OR 97116-1939 | 2007-01-03 |
| 1174602247 | Katrina Mcpherson | Pediatrics | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-11-02 |
| 1336157916 | Conley Lynch | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| 1396753950 | Douglas Holmes | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| 1689682254 | Roger Reynolds | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| 1003824681 | Sheridan Thiringer | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440864 | Olson Pharmacy Services | Pharmacy | 617 Monroe St, Oregon City, OR 97045-2336 | 2013-08-03 |
| 1861773798 | Grants Pass Pharmacy, Inc. | Pharmacy | 414 Sw 6th St., Grants Pass, OR 97526-2810 | 2011-09-06 |
| 1003051558 | Howard's Pharmacy Inc. | Pharmacy | 101 N F St, Lakeview, OR 97630-1529 | 2008-12-12 |
| 1558448225 | Pill Box Drugs Inc | Pharmacy | 635 N Arrowleaf Trl, Sisters, OR 97759 | 2006-11-01 |
| 1881776722 | Quisenberry Pharmacies Inc. | Pharmacy | 150 Liberty St Se, Salem, OR 97301-3506 | 2006-10-19 |
| 1093808198 | Pill Box Drugs Inc | Pharmacy | 906 Nw Kings Blvd, Corvallis, OR 97330 | 2006-10-02 |
| 1871690719 | Pill Box Drugs Inc | Pharmacy | 910 Nw Kings Blvd, Corvallis, OR 97330-2505 | 2006-09-20 |
| 1952405664 | Dept. of Human Srvcs/office of Fin. Srvcs Dba Irs/eopc/eotc/osh/osh-p | Pharmacy | 2600 Westgate, Pendleton, OR 97801-9604 | 2006-09-12 |
| 1780795765 | Evergreen Pharmaceutical, LLC | Pharmacy | 259 E Barnett Rd Ste L, Medford, OR 97501-7953 | 2006-08-31 |
| 1235240391 | Evergreen Pharmaceutical, LLC | Pharmacy | 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on MANAGED HEALTH CARE OF OREGON I LLC.
| 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.