DR. CHARLES WHITNEY BODREAU (NPI# 1255949285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255949285 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WHITNEY BODREAU |
| Credential | PHARMD |
| Practice Address |
20233 Sw Jay St Aloha OR 97003-8137 |
| Practice Telephone | 9712218200 |
| Mailing Telephone | 9712218200 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0016852 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
021408 | KY | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0016852 | OR | Pharmacy Service Providers |
| Street Address |
20233 SW JAY ST |
| City | ALOHA |
| State | OR |
| Zip Code | 97003-8137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| 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 |
|---|---|---|---|---|
| 1003242033 | Franklin Phan | Pharmacist | 3535 Sw 173rd Ave, Aloha, OR 97006-4525 | 2013-09-23 |
| 1225302177 | Greg Stokesbury | Pharmacist | 5975 Sw 185th Ave, Aloha, OR 97007 | 2012-02-23 |
| 1205113008 | David H Uth | Pharmacist | 1764 Sw Harvey Way, Aloha, OR 97006-2195 | 2011-11-08 |
| 1750672267 | Thuy Nguyen Phan | Pharmacist | 20225 Sw Tualatin Valley Hwy, Aloha, OR 97006-2302 | 2011-05-02 |
| 1326271552 | Sharon Ann Ormiston | Pharmacist | 19975 Sw Tv Hwy, Aloha, OR 97006-2323 | 2009-09-04 |
| 1780156943 | Khiem Platini An To | Pharmacist | 15901 Sw Jenkins Rd, Aloha, OR 97006-5045 | 2018-12-27 |
| 1477041416 | Quoc Huynh Ha | Pharmacist | 15901 Sw Jenkins Rd, Aloha, OR 97006-5098 | 2018-04-25 |
| 1265981229 | Agapi Simidyan | Pharmacist | 19975 Sw Tualatin Valley Hwy, Aloha, OR 97003-2323 | 2016-09-30 |
| 1023566031 | Trang Thi Dao | Pharmacist | 17495 Sw Farmington Rd, Aloha, OR 97007-3212 | 2016-09-19 |
| 1578923421 | Christine Bui | Pharmacist | 19975 Sw Tualatin Valley Hwy, Aloha, OR 97003-2323 | 2016-03-03 |
| Find all providers in ALOHA | ||||
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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.