MS. SUSAN LEIGH MALULANI FEDLER (NPI# 1003345273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003345273 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LEIGH MALULANI FEDLER |
| Credential | PGY1 |
| Practice Address |
226 Se 8th Ave Hillsboro OR 97123-4218 |
| Mailing Address |
Po Box 6149 Aloha OR 97007-0149 |
| Practice Telephone | 5036017385 |
| Mailing Telephone | 5033528642 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PI-0011714 | OR | Pharmacy Service Providers |
| Street Address |
226 SE 8TH AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669453460 | Geoffrey Hayden Carden | Family Medicine | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2005-11-08 |
| 1831707876 | Mayra Alejandra Bustos | Nurse Practitioner | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2020-07-15 |
| 1801441787 | Rebecca Carrasco | Nurse Practitioner | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2019-08-07 |
| 1063079887 | Sarai Ortiz-bucio | Behavior Technician | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2019-05-28 |
| 1114410131 | Jonathan Hillerich | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2018-06-13 |
| 1881106136 | Megan Caroline Margeson | Physician Assistant | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-10-26 |
| 1750804076 | Danielle Small | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-07-18 |
| 1518493246 | Hoang Phan | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-05-01 |
| 1285172775 | Daniel Alvarez Vargas | Physician Assistant | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2017-02-06 |
| 1043661424 | Hannah Noh | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| 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 |
|---|---|---|---|---|
| 1548724586 | Boupha Schaefer | Pharmacist | 3745 Se Willamette Ave, Hillsboro, OR 97123-8681 | 2019-01-23 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1518354208 | Whitney Andrew Reinauer | Pharmacist | 19075 Nw Tanasbourne Dr Ste 210, Hillsboro, OR 97124-5866 | 2015-04-20 |
| 1598176356 | Yatin J Shukla | Pharmacist | 6495 Se Tv Hwy, Hillsboro, OR 97123-8486 | 2014-05-14 |
| 1306269253 | Kyle Nielsen | Pharmacist | 6783 Ne Vinings Way, Apartment 1123, Hillsboro, OR 97124-7814 | 2014-01-29 |
| 1639505274 | Kristina Mironichenko | Pharmacist | 2425 Se Tv Hwy, Hillsboro, OR 97123-7977 | 2013-09-14 |
| 1639420979 | Frank T Bui | Pharmacist | 2075 Se Tualatin Valley Hwy, Hillsboro, OR 97123-5058 | 2012-09-26 |
| 1518216894 | Hien Nguyen | Pharmacist | 3471 Se Silver Fox Ave, Hillsboro, OR 97123-8889 | 2012-09-02 |
| 1386914786 | Susan Stein | Pharmacist | 222 Se 8th Ave Ste 451, Hillsboro, OR 97123-4218 | 2012-01-03 |
| 1770868754 | Jason Allen Neal | Pharmacist | 4363 Jefferson Dr, Hillsboro, MO 63050-3600 | 2011-10-20 |
| Find all providers in HILLSBORO | ||||
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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.