MS. BRIANNA SUE PATACINI (NPI# 1164979001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164979001 |
| Entity Type | Individual |
| Full Name | MS. BRIANNA SUE PATACINI |
| Credential | PHARMD |
| Practice Address |
4400 Ne Halsey St Suite 490 Portland OR 97213-1545 |
| Practice Telephone | 5038936900 |
| Practice Fax Number | 5038936913 |
| Mailing Telephone | 5038936900 |
| Mailing Fax Number | 5038936913 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| 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 |
ORRPH0014168 | OR | Pharmacy Service Providers |
| Street Address |
4400 NE HALSEY ST SUITE 490 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528089026 | Sonel P Patel | Family Medicine | 4400 Ne Halsey St, Building 2, Portland, OR 97213-1545 | 2006-07-21 |
| 1962046292 | Ligia Daniela Andersen | Registered Nurse | 4400 Ne Halsey St, Building 1 Ste 200, Portland, OR 97213-1545 | 2019-10-30 |
| 1316590144 | Stacey Marlene Keller | Social Worker | 4400 Ne Halsey St, Portland, OR 97213-1545 | 2019-07-21 |
| 1194377960 | Anne M Thibodeaux | Pharmacist | 4400 Ne Halsey St, Portland, OR 97213-1545 | 2019-07-11 |
| 1598248072 | Katelyn Boel | Pharmacist | 4400 Ne Halsey St, Building 2, 4th Floor, Portland, OR 97213 | 2018-09-11 |
| 1851836076 | Valerie Fong | Registered Nurse | 4400 Ne Halsey St, Pop2, 3rd Fl, Portland, OR 97213-1545 | 2016-12-23 |
| 1912458241 | Yunuo Wu | Pharmacist | 4400 Ne Halsey St, 4th Floor, Building 2, Portland, OR 97213-1545 | 2016-10-21 |
| 1790232494 | Ghazaleh Sharifi | Pharmacist | 4400 Ne Halsey St, Building 2, 4th Floor, Portland, OR 97213-1545 | 2016-09-09 |
| 1003363797 | Clara Mikhaeil | Pharmacist | 4400 Ne Halsey St, Building 2 Suite 490, Portland, OR 97213-1545 | 2016-09-09 |
| 1669929410 | Benjamin Adam Rosati | Pharmacist | 4400 Ne Halsey St, Portland, OR 97213-1545 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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.