DAN COLLEY (NPI# 1376812057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376812057 |
| Entity Type | Individual |
| Full Name | DAN COLLEY |
| Credential | PHARM.D. |
| Practice Address |
2995 Sw Vista Dr Portland OR 97225-4144 |
| Practice Telephone | 5032925761 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
7395 | OR | Pharmacy Service Providers |
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
7395 | OR | Pharmacy Service Providers |
| Street Address |
2995 SW VISTA DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531084 | Aaron Pham | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-09-08 |
| 1851919013 | Margaret Mcguinness | Pharmacist | 265 N Broadway, Portland, OR 97227-1800 | 2020-07-13 |
| 1821648692 | Amber Sarah Diaz | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-13 |
| 1275186223 | Angela Marie Maroon | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-07-18 |
| 1376109017 | Yuliya M Byakina | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-05-17 |
| 1134599798 | Sharon Shiraga | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2015-09-25 |
| 1811394380 | James Connelly | Pharmacist | 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 | 2014-11-29 |
| 1912345000 | Alexander Kappelman | Pharmacist | 22 Bramhall St, Portland, ME 04102-3134 | 2013-06-11 |
| 1457481210 | Kent A Ellis | Pharmacist | 144 State St, Portland, ME 04101-3776 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1033322136 | John Worth Newman | Pharmacist | 1700 E 19th St, The Dalles, OR 97058-3317 | 2007-05-07 |
| 1245374263 | Tonya Isabell Griffith | Pharmacist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2007-02-16 |
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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.