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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
619 Nw 6th Ave, Portland, OR 972093964 | 5039883674 |
Street Address |
1130 NW 22ND AVE STE 220 |
City | PORTLAND |
State | OR |
Zip Code | 97210-2969 |
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 |
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 Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
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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.