JAN HAXBY


Address: 4411 Sw Vermont St, Portland, OR 97219-1020
Phone: 5034942098

JAN HAXBY (NPI# 1164896791) 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) 1164896791
Entity Type Individual
Full Name JAN HAXBY
Credential RPH
Practice Address 4411 Sw Vermont St
Portland
OR 97219-1020
Mailing Address 2942 Sw Arnold St
Portland
OR 97219-7534
Practice Telephone 5034942098
Enumeration Date 2015-11-19
Last Update Date 2015-11-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH0007582 OR Pharmacy Service Providers

Office Location

Street Address 4411 SW VERMONT ST
City PORTLAND
State OR
Zip Code 97219-1020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871558353 Douglas Bruce Mckeag Family Medicine 4411 Sw Vermont St, Portland, OR 97219-1020 2006-04-19
1013434646 Sarah Kuppenbender Kong Nurse Practitioner 4411 Sw Vermont St, Portland, OR 97219-1020 2017-08-24
1609396365 Eric Wecker Family Medicine 4411 Sw Vermont St, Portland, OR 97219-1020 2017-06-23
1609289032 Juliet F Baker Specialist/Technologist 4411 Sw Vermont St, Portland, OR 97219-1020 2014-06-03
1417204041 Sarah S Owens Social Worker 4411 Sw Vermont St, Portland, OR 97219-1020 2012-08-14
1033466206 University Professional Services General Practice 4411 Sw Vermont St, Portland, OR 97219-1020 2012-08-07
1215282710 Claire E. Hull Physician Assistant 4411 Sw Vermont St, Portland, OR 97219-1020 2012-07-20
1699048686 Pamela T English Counselor 4411 Sw Vermont St, Portland, OR 97219-1020 2012-02-21
1346536018 Ruth Christiansen Physician Assistant 4411 Sw Vermont St, Portland, OR 97219-1020 2011-06-21
1609019686 Jennifer S Mitchell Physician Assistant 4411 Sw Vermont St, Portland, OR 97219-1020 2009-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356958672 Lighthouse Psychological Services, LLC Psychologist 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 2020-09-30
1083130991 Tawayne Nolen Malone Jr. Psychologist 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 2017-08-22
1548667918 Eleven Eleven, LLC Specialist/Technologist, Other 6714 Sw 62nd Place, Portland, OR 97219 2014-12-01
1023414257 Paul Shayne Hansen Adult Companion 9155 Sw 55th Avenue, Portland, OR 97219 2014-11-17
1154721850 Mikhail Govshievich Denturist 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 2014-08-29
1255749404 Kristin Rae Paruszkiewicz Physical Therapist 7943 Sw Barbur Blvd #1, Portland, OR 97219 2014-07-31
1639436488 Michelle Lorraine Emery Counselor 7912 Sw 35th, Portland, OR 97219 2012-04-18
1588930192 Steve Ryan Speech-Language Pathologist 3315 Sw Falcon St, Portland, OR 97219 2012-03-28
1104145952 Multnomah Family Care Center Clinic/Center 6787 Sw Capitol Hwy, Portland, OR 97219 2010-05-19
1740518331 Trilbie L Patteson Physical Therapy Assistant 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 2009-11-20
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407460371 Samantha Nozomi Murata Pharmacist 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 2020-09-08
1053923920 Hoang Lan Ngoc Doan Pharmacist 4201 Ne 129th Pl, Portland, OR 97230-1405 2020-08-20
1528677531 Mi Pham Pharmacist 5824 Se 134th Pl, Portland, OR 97236-2987 2020-07-26
1700407350 Emad Banoub Pharmacist 1105 Hyw 181, Portland, TX 78374 2020-05-05
1255951471 Nam Lai Pharmacist 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 2020-04-17
1275167439 Mayasah Anas Sedeeq Al Bazzaz Pharmacist 15122 Nw Fig Ln, Portland, OR 97229-6986 2020-02-26
1427696632 Thai Tran Pharmacist 7901 Se Powell Blvd, Portland, OR 97206-2314 2019-12-18
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1952966970 Linda P. Pham Pharmacist 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 2019-05-06
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Competitor

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City PORTLAND
Zip Code 97219

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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