ISABEL KANG (NPI# 1386196814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386196814 |
Entity Type | Individual |
Full Name | ISABEL KANG |
Other Name | ISABEL KIM |
Credential | RPH |
Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
Mailing Address |
7320 Sw 154th Ter Beaverton OR 97007-6843 |
Practice Telephone | 5032772815 |
Practice Fax Number | 5036264419 |
Mailing Telephone | 9714046922 |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-12-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
9809 | OR | Pharmacy Service Providers |
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
9809 | OR | Pharmacy Service Providers |
Street Address |
4855 SW WESTERN AVE |
City | BEAVERTON |
State | OR |
Zip Code | 97005-3460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
1285142802 | Tiffani O'neill | Counselor | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-01-17 |
1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
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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 |
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Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477023158 | Christa Johnson | Pharmacist | 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | 2018-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376039321 | Anthony Mckenzie | Pharmacist | 665 Winter St Se Bldg B, Salem, OR 97301-3934 | 2018-07-02 |
1457881468 | Coleman Gayheart Jr. | Pharmacist | 12981 Sw Upper Ridge Rd, Terrebonne, OR 97760-9212 | 2017-06-13 |
1265977086 | Robert Martini | Pharmacist | 18815 Ne Clackamas St, Portland, OR 97230-7138 | 2017-01-03 |
1477901643 | Shellie Weatherspoon | Pharmacist | 1040 Nw 22nd Ave Ste 100, Portland, OR 97210-3036 | 2016-05-29 |
1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
1871106914 | Viet Quoc Nguyen | Pharmacist | 2280 Marcola Rd, Springfield, OR 97477-2594 | 2020-08-28 |
1235757915 | Dustin J Clark | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2020-07-09 |
1841818523 | Erica Dominguez | Pharmacist | 870 S Front St Ste 200, Central Point, OR 97502-2779 | 2020-07-09 |
1518585199 | Kasey Rubin | Pharmacist | 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | 2020-07-09 |
1699306464 | Frederique Josee Blouin | Pharmacist | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2020-01-30 |
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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.