TIFFANY K DUELL (NPI# 1053942078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053942078 |
| Entity Type | Individual |
| Full Name | TIFFANY K DUELL |
| Credential | RPH |
| Practice Address |
525 Se Washington St Dallas OR 97338-2834 |
| Mailing Address |
1685 Sisters Ct Nw Salem OR 97304-2092 |
| Practice Telephone | 5039172013 |
| Practice Fax Number | 5039172033 |
| Mailing Telephone | 5038818880 |
| Mailing Fax Number | 5039172033 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0008073 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0008073 | OR | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH-0008073 | OR | Pharmacy Service Providers |
| Street Address |
525 SE WASHINGTON ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237486 | Salem Health West Valley | Medicare Defined Swing Bed Unit | 525 Se Washington St, Dallas, OR 97338-2834 | 2005-07-01 |
| 1144845769 | Troy J Hattan | Physical Therapist | 525 Se Washington St, Dallas, OR 97338-2834 | 2020-06-09 |
| 1700400371 | Cindy Lee Neth | Physical Therapy Assistant | 525 Se Washington St, Dallas, OR 97338-2834 | 2020-05-29 |
| 1659905784 | Dora Diana Mercier | Physical Therapist | 525 Se Washington St, Dallas, OR 97338-2834 | 2020-02-27 |
| 1225592769 | Caezar Ordonez | Nurse Practitioner | 525 Se Washington St, Dallas, OR 97338-2834 | 2019-01-29 |
| 1306356449 | Sergiu Todor | Pharmacist | 525 Se Washington St, Dallas, OR 97338-2834 | 2017-10-03 |
| 1851822647 | Oregon Em-i Medical Services PC | Physician Assistant | 525 Se Washington St, Dallas, OR 97338-2834 | 2017-03-23 |
| 1710351358 | Kristine Harmon | Pharmacist | 525 Se Washington St, Dallas, OR 97338-2834 | 2015-11-19 |
| 1659661155 | Dallas Oregon Emergency Physicians LLC | Emergency Medicine | 525 Se Washington St, Dallas, OR 97338-2834 | 2011-04-18 |
| 1871829796 | West Valley Hospital Pharmacy | General Acute Care Hospital | 525 Se Washington St, Dallas, OR 97338-2834 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| 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 |
|---|---|---|---|---|
| 1174144240 | Saima Ayub | Pharmacist | 6808 Skillman St Apt 5115, Dallas, TX 75231-5825 | 2020-04-30 |
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1710492772 | Kimberly Hunton | Pharmacist | 94 Memorial Ct, Dallas, GA 30132-4429 | 2017-12-12 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1104161678 | Hiral Patel | Pharmacist | 4500 S Lancaster Rd Bldg 7r119a, Dallas, TX 75216-7167 | 2012-12-10 |
| 1538419825 | Michael Edward Wright II | Pharmacist | 3500 Gaston Ave., Department of Pharmacy, Dallas, TX 75246 | 2012-09-13 |
| 1366709040 | Tammy Monk James | Pharmacist | 4700 Ross Ave, Dallas, TX 75204-4859 | 2012-04-18 |
| 1427354687 | Kunal Kaushik Patel | Pharmacist | 2901 Indiana Blvd, # 315, Dallas, TX 75226-1520 | 2011-02-07 |
| 1952557985 | Latonya Rena Menefee | Pharmacist | 4500 S Lancaster Rd Bldg 7, Dallas, TX 75216-7167 | 2008-08-11 |
| 1093314049 | Whitney Faith Barth | Pharmacist | 4901 Maple Ave, Dallas, TX 75235-8210 | 2020-10-21 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on TIFFANY K DUELL.
| 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.