MTMCARE (NPI# 1245766500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245766500 |
| Entity Type | Organization |
| Organization Name | MTMCARE |
| Other Organization Name | MYMTMCARE |
| Practice Address |
1020 Wasco St Ste C Hood River OR 97031-1159 |
| Practice Telephone | 5414362575 |
| Mailing Telephone | 5414362575 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | RANDEE BOWDER (CEO) |
| Authorized Official Telephone | 5414362575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7 | OR | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| myMTMcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MTMCARE, INC. | 302 W Steuben St, Bingen, WA 98605-0834 |
| Oregon Corporations, Companies and Business Names | MTMCARE, INC. | 1020 Wasco St, Suite C, Hood River, OR 97031 |
| Street Address |
1020 WASCO ST STE C |
| City | HOOD RIVER |
| State | OR |
| Zip Code | 97031-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1760947444 | Madison Bubb | Behavior Technician | 1270 Tucker Road, Hood River, OR 97031 | 2019-02-06 |
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1720511926 | Ohsana Valle | Specialist/Technologist | 3242 Mud Alley Rd, Hood River, OR 97031 | 2017-04-05 |
| 1811353287 | Carolina Cecelia Castro | Counselor | 965 Tucker Road, Hood River, OR 97031 | 2016-01-14 |
| 1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
| 1518364272 | Kimberly Althea Perez | Counselor | 1425 Rockfor Rd., Hood River, OR 97031 | 2014-11-24 |
| 1508287871 | Mid-columbia Center for Living | Community/Behavioral Health | 3686 Davis Drive, Hood River, OR 97031 | 2014-01-03 |
| Find all providers in zip 97031 | ||||
| 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 |
|---|---|---|---|---|
| 1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
| 1285002212 | Sarah J Prates | Pharmacist | 1114 9th St, Hood River, OR 97031-1923 | 2015-09-08 |
| 1578796413 | Barend Johannes Vorster | Pharmacist | 2049 Cascade Ave, Hood River, OR 97031-1069 | 2009-08-26 |
| 1396804589 | Randee Bowder | Pharmacist | 606 State St, #2, Hood River, OR 97031-1803 | 2006-12-06 |
| 1356987283 | Leah Rojas | Pharmacist | 2700 Wasco St, Hood River, OR 97031-1049 | 2019-11-26 |
| 1083125660 | Roxanne Blaine | Pharmacist | 2700 Wasco St, Hood River, OR 97031-1049 | 2017-10-23 |
| 1992255152 | Anthony Sterlinski | Pharmacist | 1727 12th St, Hood River, OR 97031-9531 | 2016-10-11 |
| 1003365214 | Eric Dahlen | Pharmacist | 810 12th St, Hood River, OR 97031-1587 | 2016-09-28 |
| 1669920518 | Jayne Marie Hill | Pharmacist | 810 12th St, Hood River, OR 97031-1587 | 2016-09-20 |
| 1194122630 | Houssein M Salman | Pharmacist | 2700 Wasco St, Hood River, OR 97031-1049 | 2014-11-27 |
| Find all providers in HOOD RIVER | ||||
| City | HOOD RIVER |
| Zip Code | 97031 |
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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.