TIM RICHARD CRISWELL


Address: 619 Nw 6th Ave, Portland, OR 97209-3964
Phone: 5039885267

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician CPT-0001684 OR Pharmacy Service Providers

Office Location

Street Address 619 NW 6TH AVE
City PORTLAND
State OR
Zip Code 97209-3964

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City PORTLAND
Zip Code 97209

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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