MR. KIRK THOMAS GATES (NPI# 1356514145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356514145 |
| Entity Type | Individual |
| Full Name | MR. KIRK THOMAS GATES |
| Practice Address |
12065 Sw Walnut St Tigard OR 97223-3033 |
| Practice Telephone | 3607902293 |
| Mailing Telephone | 3607902293 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | VA00057147 | WA | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | T-0011752 | OR | Pharmacy Service Providers |
| Street Address |
12065 SW WALNUT ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666757 | Rachael Anne Gibson | Pharmacy Technician | 12240 Sw Scholls Ferry Rd, Tigard, OR 97223-3354 | 2020-10-10 |
| 1851745962 | Tiffany Crystal Tom-laughlin | Pharmacy Technician | 8915 Sw Center St, Tigard, OR 97223-6307 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223356 | Sarah Miller | Pharmacy Technician | 8300 Sw Creekside Pl, Beaverton, OR 97008-8178 | 2020-10-20 |
| 1659991586 | Billy Dakota Medlin | Pharmacy Technician | 53 N 2nd St, Ashland, OR 97520-1889 | 2020-04-21 |
| 1881047553 | Kelli Tompkins | Pharmacy Technician | 2909 Daggett Ave Ste 225, Klamath Falls, OR 97601-7200 | 2016-07-19 |
| 1538550058 | Jinalyn Germond | Pharmacy Technician | 1813 W Harvard Ave Ste 210, Roseburg, OR 97471-2709 | 2015-02-06 |
| 1639443476 | Angela Lynn Mcginley | Pharmacy Technician | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2012-02-24 |
| 1568750990 | Patricia Posteuca | Pharmacy Technician | 2602 Arbor Dr, West Linn, OR 97068-1104 | 2011-07-19 |
| 1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
| 1013138338 | Joni Renee Killgore | Pharmacy Technician | 500 Summer St Ne, Salem, OR 97301-1063 | 2007-05-02 |
| 1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
| 1144313644 | Nancy Jane Dooley | Pharmacy Technician | 2310 Connecticut, North Bend, OR 97459 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.