CHAMNAN ING (NPI# 1104199876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104199876 |
| Entity Type | Individual |
| Full Name | CHAMNAN ING |
| Practice Address |
4750 Sw Western Ave Beaverton OR 97005-3431 |
| Practice Telephone | 5036264710 |
| Practice Fax Number | 5036260590 |
| Mailing Telephone | 5036264710 |
| Mailing Fax Number | 5036260590 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0010478 | OR | Pharmacy Service Providers |
| Street Address |
4750 SW WESTERN AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639442106 | Tonia Ann Jacobs | Pharmacy Technician | 4750 Sw Western Ave, Beaverton, OR 97005-3431 | 2012-02-14 |
| 1518230135 | Janette Marie Johnson | Pharmacist | 4750 Sw Western Ave, Beaverton, OR 97005-3431 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1699244749 | Sohrob Yavari | Pharmacist | 14742 Sw Scholls Ferry Rd, Beaverton, OR 97007-9108 | 2018-11-19 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| 1316348428 | Christopher Lau | Pharmacist | 12855 Sw Barlow Rd, Beaverton, OR 97008-5181 | 2014-09-08 |
| 1275968455 | Michael L Garcia | Pharmacist | 14856 Sw Conor Cir, Beaverton, OR 97006-5893 | 2013-09-06 |
| 1720338759 | Aman Patel | Pharmacist | 210 Sw Edgeway Drive, #j382, Beaverton, OR 97006 | 2012-09-18 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| 1902122377 | Barbara Ellen Nye | Pharmacist | 15005 Nw Blaze Ter, Beaverton, OR 97006-5784 | 2010-04-10 |
| 1841523750 | Jenny Thuy Phan Yee | Pharmacist | 14600 Sw Murray Scholls Dr Ste 102, Beaverton, OR 97007-9712 | 2009-09-09 |
| 1811154974 | Jordianne Orallo Balan | Pharmacist | 16029 Nw Joscelyn St, Beaverton, OR 97006-7261 | 2008-05-16 |
| 1669655379 | Brian Andrew Murch | Pharmacist | 12575 Sw Walker Rd, Beaverton, OR 97005-1306 | 2007-12-17 |
| Find all providers in BEAVERTON | ||||
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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.