DR. TATIANA O ANDERSON (NPI# 1174768576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174768576 |
| Entity Type | Individual |
| Full Name | DR. TATIANA O ANDERSON |
| Credential | PHARM.D. |
| Practice Address |
1160 Wallace Rd Nw Salem OR 97304-3116 |
| Mailing Address |
881 Sw Birch St Dallas OR 97338-2319 |
| Practice Telephone | 5033154001 |
| Mailing Telephone | 7605246564 |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2020-04-28 |
| 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 |
0011500 | OR | Pharmacy Service Providers |
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
58573 | CA | Pharmacy Service Providers |
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
RPH-0011500 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184052268 | Tatiana Anderson | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Suite 675, Atlanta, GA 30342-1731 | 2013-10-28 |
| Street Address |
1160 WALLACE RD NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760450308 | Barbara G C Hoover | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2006-03-09 |
| 1235789298 | Dorian Truong | Physician Assistant | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2019-09-11 |
| 1306398250 | Kaiser Foundation Health Plan of The Northwest | General Practice | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2016-10-26 |
| 1003235474 | Bethany Wohletz | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2014-04-14 |
| 1598919565 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-11-04 |
| 1437306578 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-08-20 |
| 1609043116 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-05-14 |
| 1760668636 | Steven R Thorvilson | Pharmacist | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2008-01-10 |
| 1851584700 | Suzanne Marie Deschamps | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2007-08-23 |
| 1043392012 | Mark Warren Olson | Family Medicine | 1160 Wallace Rd Nw, Salem, OR 97304-3116 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1174899850 | Kristey Shimek | Pharmacist | 3450 Commercial Street Se, Salem, OR 97302-4635 | 2012-03-28 |
| 1023276201 | Erich Agustus Schmidt | Pharmacist | 2260 Joplin Ct S, Salem, OR 97302-2217 | 2008-05-24 |
| 1699286625 | Valeria Ortega | Pharmacist | 3740 Market St Ne, Salem, OR 97301-1826 | 2017-10-17 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
| 1972973253 | Tyron James Sinn | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2015-09-30 |
| 1902286313 | Tanvi Patil | Pharmacist | 1970 Roanoke Blvd, Salem, Va 24153-6404, Salem, VA 24153-6404 | 2015-06-02 |
| 1003204280 | James Paarlberg | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2014-12-22 |
| Find all providers in SALEM | ||||
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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.