LAURA CHAN (NPI# 1255745097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255745097 |
| Entity Type | Individual |
| Full Name | LAURA CHAN |
| Practice Address |
800 Sw 13th Ave Portland OR 97205-1902 |
| Practice Telephone | 5032210161 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS46723 | FL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0012787 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235288614 | Laura J Chan | Social Worker | Stony Brook Psychiatric Associates Ufpc, Hsc Level 10, Room 20, Stony Brook, NY 11794-8101 | 2007-01-09 |
| 1558609495 | Laura Bradbury Chan | Physical Therapist | 75 Finnell Dr, Weymouth, MA 02188-1110 | 2013-01-28 |
| 1659649226 | Laura Ives Stevens Chan | Acupuncturist | 60 Main St, Suite 320, Nashua, NH 03060-2720 | 2011-12-09 |
| 1881772440 | Laura L. Chan | Anesthesiology | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1154384600 | Laura C Chan | Nurse Practitioner | 2 Wheeler St, Savannah, GA 31405-5700 | 2006-04-07 |
| Street Address |
800 SW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235129891 | Cristina Fe G Mondragon | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2005-10-25 |
| 1407407489 | Chandni Patel | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2019-09-22 |
| 1588148381 | Chelsea Saettone | Social Worker | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-09-18 |
| 1952888281 | Amanda Welter | Physical Therapist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2018-07-19 |
| 1265936058 | Alexander Bulochnik Shteynberg | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-03-19 |
| 1851825640 | Pooja Naik | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2017-04-18 |
| 1376906669 | Thomas Dudrey | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2016-04-04 |
| 1497125884 | Stephanie Nicole D'andrea | Nurse Practitioner | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2015-09-29 |
| 1407199094 | Yasuyo Diana Umene | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2013-04-02 |
| 1093070278 | Laura Macdonald Sage | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2012-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on LAURA CHAN.
| 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.