MARY WILLIS (NPI# 1831521269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831521269 |
| Entity Type | Individual |
| Full Name | MARY WILLIS |
| Credential | PHARM.D. |
| Practice Address |
3800 Se 22nd Ave 04004/rds Portland OR 97202-2918 |
| Mailing Address |
19605 Ne 130th Cir Brush Prairie WA 98606-3904 |
| Practice Telephone | 5037975082 |
| Mailing Telephone | 3609012842 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0013605 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677406 | Mary Grace Willis | Licensed Vocational Nurse | 232 County Road 2921, Alba, TX 75410-5830 | 2020-10-22 |
| 1477051449 | Mary E Willis | Nurse Practitioner | 10510 Jefferson Ave Ste E, Newport News, VA 23601-3102 | 2018-01-25 |
| 1417313263 | Mary Willis | Physical Therapy Assistant | 10077 Infinity Ln, Piqua, OH 45356-7512 | 2016-01-10 |
| 1700185964 | Mary Miranda Willis | Licensed Practical Nurse | 303 Rellim Dr, Kent, OH 44240-4531 | 2011-03-26 |
| 1083700652 | Mary Willis | Counselor | 4656 Brambleton Avenue, Roanoke, VA 24018 | 2006-10-04 |
| 1518504620 | Mary Judith Willis | Counselor | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2019-12-08 |
| 1083992267 | Mary Kristine Willis | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2011-07-22 |
| 1811223324 | Mary Kay Willis | Specialist/Technologist | 1248 Austin Hwy, Suite 210, San Antonio, TX 78209-4821 | 2009-10-19 |
| 1710127626 | Mary E Willis | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1346499241 | Mary E Willis | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-09-16 |
| Street Address |
3800 SE 22ND AVE 04004/RDS |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821178674 | C A Leon Alzola | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2999 | 2006-10-16 |
| 1558960666 | Abdi Osman | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2999 | 2020-10-20 |
| 1508484015 | Elisabeth Marie Hanson | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2020-07-10 |
| 1851876908 | Steve Nzele | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2018-09-25 |
| 1730634528 | Ada Chang | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2016-08-22 |
| 1134673080 | Briana Cosca | Pharmacist | 3800 Se 22nd Ave, 04002/31-d, Portland, OR 97202-2918 | 2016-08-09 |
| 1053783423 | Amy Jay | Pharmacist | 3800 Se 22nd Ave, Mail Stop 04002/31-d, Portland, OR 97202-2918 | 2015-10-26 |
| 1730558818 | Jenny Jiyoung Kim | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2015-09-18 |
| 1164822433 | Tommy Vo | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2014-08-24 |
| 1992110381 | Rupal Patel | Pharmacist | 3800 Se 22nd Ave, Portland, OR 97202-2918 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| 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.