MEGAN MOLLY CARROLL (NPI# 1265896542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265896542 |
| Entity Type | Individual |
| Full Name | MEGAN MOLLY CARROLL |
| Credential | PHARM.D. |
| Practice Address |
1015 Sw Bertha Blvd Apt 2 Portland OR 97219-2078 |
| Practice Telephone | 5419906727 |
| Mailing Telephone | 5419906727 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PI-0011511 | OR | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PHARMACY LICENSE | PI-0011511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760965347 | Megan Marie Carroll | Specialist/Technologist | 41 Tournament Tee Dr, O Fallon, MO 63368-9606 | 2018-09-10 |
| 1609404789 | Megan Marie Carroll | Student in an Organized Health Care Education/Training Program | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-04-01 |
| 1306478185 | Megan Carroll | Pharmacist | 3290 Sheridan Dr, Amherst, NY 14226-1422 | 2020-02-10 |
| 1962936872 | Megan Carroll | Specialist/Technologist, Other | 1945 Scottsville Rd, B2 Pmb 137, Bowling Green, KY 42104-3376 | 2017-04-18 |
| 1528503059 | Megan Carroll | Social Worker | 1000 Silver Street, River Valley Services, Middletown, CT 06457 | 2016-12-19 |
| 1477933679 | Megan Lee Carroll | Physical Therapist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2015-06-02 |
| 1821413139 | Megan Carroll | Specialist | 43 E Main St, Upper, Springville, NY 14141-1224 | 2014-02-24 |
| 1952737421 | Megan Lynn Carroll | Registered Nurse | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014-4360 | 2013-09-17 |
| 1487903100 | Megan Lynette Carroll | Counselor | 155 Inverness Dr W, Suite 110, Englewood, CO 80112-5095 | 2012-09-10 |
| 1922379312 | Megan Carroll | Occupational Therapist | 47w635 Beith Rd, Maple Park, IL 60151-8802 | 2012-01-18 |
| Street Address |
1015 SW BERTHA BLVD APT 2 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| 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.