YIJUN LIN (NPI# 1417221961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417221961 |
| Entity Type | Individual |
| Full Name | YIJUN LIN |
| Credential | RPH |
| Practice Address |
17645 Nw Saint Helens Rd Portland OR 97231-1729 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5036211069 |
| Practice Fax Number | 5036210200 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0015193 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 051.294074 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500723225 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12360 E Burnside St, Portland, OR 972331042 | 9712794800 | 9712792051 |
| 15 N Morris St, Portland, OR 972271541 | 5032309875 |
| Street Address |
17645 NW SAINT HELENS RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97231-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336130822 | Christine Ann Talent | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2005-11-02 |
| 1568082287 | Cecilia B Brandenburg | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2020-04-22 |
| 1952931776 | Irvin D Wilson | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2020-01-21 |
| 1790337749 | Cheyenne A Cleeton | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2019-07-10 |
| 1780187880 | Brandy M Ascencio | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2018-03-14 |
| 1134637655 | Janus K Vanderhoof | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2018-01-18 |
| 1144732702 | Ingrid A Zeckser | Registered Nurse | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-11-03 |
| 1609390020 | Charles L Wanke | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-07-27 |
| 1881116572 | Amy L Beaver | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-07-13 |
| 1760903959 | Noreen Faith Bolton | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538567 | Cole Andrew Byerly | Case Manager/Care Coordinator | 229 South East 4th Avenue, Albany, OR 97231 | 2007-06-29 |
| 1740311257 | Dallas Northcoutt | Case Manager/Care Coordinator | 1095 25th Street Se, Salem, OR 97231 | 2007-03-08 |
| 1023007093 | Native American Rehabilitation Association, Inc. | Clinic/Center | 17645 Nw St Helens Rd, Portland, OR 97231 | 2005-10-20 |
| 1730546433 | Meribeth Ester Malone | Specialist | 18229 Nw Reeder Rd, Portland, OR 97231-1427 | 2016-01-26 |
| 1295004075 | Leon Speroff | Obstetrics & Gynecology | 15001 Nw Skyline Blvd, Portland, OR 97231-2403 | 2011-12-22 |
| 1689713539 | Jay David Kravitz | Preventive Medicine | 14323 Nw Skyline Blvd, Portland, OR 97231-2403 | 2007-02-06 |
| 1205372430 | Lupin Cascadia Demuth | Naturopath | 11605 Nw Rock Creek Rd, Portland, OR 97231-2412 | 2017-01-11 |
| 1356556559 | Shirley Eileen Fitzgerald | Registered Nurse | 10835 Nw Brooks Rd, Portland, OR 97231-2506 | 2007-05-11 |
| 1366609240 | Anna Lattin | General Practice | 10911 Nw Quarry Rd, Portland, OR 97231-2617 | 2008-05-19 |
| 1407456429 | Alexander Emile Burday | Speech-Language Pathologist | 9001 Nw Skyline Blvd, Portland, OR 97231-2623 | 2020-10-28 |
| Find all providers in zip 97231 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| 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.