DR. EVELYN KISAKYE


Address: 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969
Phone: 5034138988

DR. EVELYN KISAKYE (NPI# 1962027789) 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) 1962027789
Entity Type Individual
Full Name DR. EVELYN KISAKYE
Credential PHARMD
Practice Address 1130 Nw 22nd Ave Ste 220
Portland
OR 97210-2969
Practice Telephone 5034138988
Mailing Telephone 5034138988
Enumeration Date 2020-06-09
Last Update Date 2020-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0017309 OR Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
619 Nw 6th Ave, Portland, OR 972093964 5039883674

Office Location

Street Address 1130 NW 22ND AVE STE 220
City PORTLAND
State OR
Zip Code 97210-2969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669447231 Patrick Marshall Dunn Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2006-02-17
1336552751 Nikolas Robins Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2014-06-03
1336572346 Rachel A Chlasta Pharmacist 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2013-08-13
1801157284 Margaret E. Savransky Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2012-06-01
1336460567 Kenna Marie Wood Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2010-06-22
1760706709 Ben Viet Ly Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2010-03-19
1902827272 Legacy Clinics LLC Midwife 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2006-07-22
1922067487 Constance Rosson Internal Medicine 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 2006-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
Find all providers in zip 97210

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
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
1245695956 M. Katherine Welch Pharmacist 3228 Sw Water Ave, Portland, OR 97239-4632 2015-12-22
1790176006 Jacob Tang Pharmacist 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 2015-02-09
1902211196 Danit Chetron Pharmacist 2323 Sw Caldew St, Portland, OR 97219-2618 2014-06-25
1023350881 Joey Goren Degrood Pharmacist 9044 Sw Rystadt Ln, Portland, OR 97225-2851 2013-03-20
1831435213 James L Huang Pharmacist 300 N Graham St Ste 200, Portland, OR 97227 2012-12-12
1972853331 Sharon Leigh Pharmacist 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 2012-09-13
1649544107 Ryan Bradley Pharmacist 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 2012-03-01
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97210

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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