TIM RICHARD CRISWELL (NPI# 1780201426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780201426 |
Entity Type | Individual |
Full Name | TIM RICHARD CRISWELL |
Credential | CPHT |
Practice Address |
619 Nw 6th Ave Portland OR 97209-3964 |
Mailing Address |
4123 Ne Sumner St Portland OR 97211-8074 |
Practice Telephone | 5039885267 |
Practice Fax Number | 5039885781 |
Mailing Telephone | 5035758185 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | CPT-0001684 | OR | Pharmacy Service Providers |
Street Address |
619 NW 6TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97209-3964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093874356 | Erin C Brochu | Counselor | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2006-12-06 |
1700494580 | Christine Belile | Clinical Medical Laboratory | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-07-17 |
1902423635 | Sheng Kimberly Yang | Pharmacy Technician | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-06-29 |
1568089290 | Rebecca Puls | Pharmacy Technician | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-06-29 |
1790323947 | Erica Harris | Nurse Practitioner | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2019-12-18 |
1508388497 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2017-07-12 |
1639534969 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2015-12-31 |
1215373048 | Emily R Borke | Social Worker | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-05-20 |
1023451044 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-04-09 |
1982992954 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2011-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
Find all providers in zip 97209 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
1700403177 | Sarn Tsio Saechao | Pharmacy Technician | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2020-07-01 |
1205453693 | Jason Anderson | Pharmacy Technician | 619 Nw 6th Ave Fl 7, Portland, OR 97209-3964 | 2020-07-01 |
1356968986 | Elizabeth Mitchell | Pharmacy Technician | 619 Nw 6th Ave Fl 7, Portland, OR 97209-3964 | 2020-06-30 |
1851918379 | Rolando Quinones | Pharmacy Technician | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2020-06-30 |
1790302347 | Tamara Williams | Pharmacy Technician | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2020-06-30 |
1881211522 | Justin Castro | Pharmacy Technician | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2020-06-29 |
1699392332 | Brady Armstrong | Pharmacy Technician | 9000 N Lombard St, Portland, OR 97203-3006 | 2020-06-29 |
1598382236 | Astrid Joy Hollensteiner | Pharmacy Technician | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2020-06-29 |
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.