PACIFIC NATURAL FAMILY MEDICINE, LLC (NPI# 1366782450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366782450 |
| Entity Type | Organization |
| Organization Name | PACIFIC NATURAL FAMILY MEDICINE, LLC |
| Practice Address |
9880 Sw Beaverton Hillsdale Hwy Suite 202 Beaverton OR 97005-3367 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 5037475623 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | DR. JENNIFER L. MLNARIK (OWNER) |
| Authorized Official Telephone | 5037475623 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC NATURAL FAMILY MEDICINE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
9880 SW BEAVERTON HILLSDALE HWY SUITE 202 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
| 1811506496 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2695 Sw Cedar Hills Blvd Ste 180, Beaverton, OR 97005-1415 | 2020-07-29 |
| 1346507613 | Health Resources Unlimited, Inc. | Non-Pharmacy Dispensing Site | 4750 Sw Watson Ave, Beaverton, OR 97005-0511 | 2012-04-11 |
| 1376952275 | Novam-nutrition LLC | Non-Pharmacy Dispensing Site | 15455 Nw Greenbrier Pkwy, Suite #100, Beaverton, OR 97006-7374 | 2014-08-05 |
| 1144567967 | Andrew Murison | Non-Pharmacy Dispensing Site | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2013-01-14 |
| 1891706438 | Pacific Oncology PC | Non-Pharmacy Dispensing Site | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
| 1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
| 1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
| 1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
| 1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
| 1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
| 1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
| 1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
| 1033729207 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2990 Commercial St Se Ste 160, Salem, OR 97302-5178 | 2020-08-03 |
| 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.