OMAR AVILA VAZQUEZ (NPI# 1417519240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417519240 |
| Entity Type | Individual |
| Full Name | OMAR AVILA VAZQUEZ |
| Credential | PHARMD |
| Practice Address |
1175 Mount Hood Ave Woodburn OR 97071-9060 |
| Practice Telephone | 5039822000 |
| Mailing Telephone | 5039822000 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0017509 | OR | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PI-0012356 | OR | Student, Health Care |
| Street Address |
1175 MOUNT HOOD AVE |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119348 | Cathy Pierce Zehrung | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2006-01-17 |
| 1538722616 | Lyudmila Likhonina | Physician Assistant | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2019-04-15 |
| 1821569039 | Shannon Pearson | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2018-12-16 |
| 1225525439 | Laboratory Corporation of America | Clinical Medical Laboratory | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2018-04-13 |
| 1194228551 | Stephen Crum | Physician Assistant | 1175 Mount Hood Ave, Woodburn, OR 97071 | 2018-03-13 |
| 1376057448 | Gregory Lee Lum | Dietitian, Registered | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2017-11-27 |
| 1073037123 | Katherine Hunter Smith | Registered Nurse | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2017-07-31 |
| 1083135834 | Sylvia Walsh | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2017-07-02 |
| 1316390727 | Anayeli Franco Torres | Registered Nurse | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-07-20 |
| 1255783783 | Huong Truong | Dentist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1235548215 | Gary Michael Kohl | Pharmacist | 3002 Stacey Allison Way, Woodburn, OR 97071-2904 | 2014-08-04 |
| 1205194131 | Adrian Alejandro Contreras | Pharmacist | 1600 Mount Hood Ave, Woodburn, OR 97071-9071 | 2012-04-28 |
| 1386973709 | Victor Gonzalez | Pharmacist | 1175 Mount Hood Ave., Woodburn, OR 97071-9080 | 2009-12-14 |
| 1629289863 | Jessica Kipfer | Pharmacist | 3117 Gustin Rd, Woodburn, IN 46797-9550 | 2007-05-26 |
| 1215990916 | Irene Croswell | Pharmacist | 1550 N Pacific Hwy, Safeway Pharmacy #1976, Woodburn, OR 97071-3622 | 2006-04-11 |
| 1235119348 | Cathy Pierce Zehrung | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2006-01-17 |
| 1275164568 | Christy Ryan | Pharmacist | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2020-01-27 |
| 1821569039 | Shannon Pearson | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2018-12-16 |
| 1457862765 | Julie Tran | Pharmacist | 1550 N Pacific Hwy, Woodburn, OR 97071-3622 | 2017-10-13 |
| 1629597414 | Nour Al Jamal | Pharmacist | 3002 Stacy Allison Way, Woodburn, OR 97071-2904 | 2017-09-13 |
| Find all providers in WOODBURN | ||||
Please comment or provide details below to improve the information on OMAR AVILA VAZQUEZ.
| 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.