THERESA TERRY (NPI# 1568910586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568910586 |
| Entity Type | Individual |
| Full Name | THERESA TERRY |
| Credential | PHARM.D. |
| Practice Address |
19500 Se Stark St Portland OR 97233-5757 |
| Practice Telephone | 5038132000 |
| Mailing Telephone | 5038132000 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
8158 | OR | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
8158 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060484 | Theresa Terry | Massage Therapist | 6919 W Broward Blvd # 166, Plantation, FL 33317-2902 | 2008-11-11 |
| 1891116992 | Theresa Terry | Physical Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2013-12-17 |
| Street Address |
19500 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041961 | Patrick Kwong | Optometrist | 19500 Se Stark St, Portland, OR 97233-5757 | 2005-08-30 |
| 1487206108 | Yue Song | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-07-12 |
| 1942867965 | Joyce Trandem | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-05-24 |
| 1902462914 | Jessica Pham | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-05-15 |
| 1366909988 | Stephanie Radu | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-03-01 |
| 1336643105 | Tara Martin | Social Worker | 19500 Se Stark St, Portland, OR 97233-5757 | 2018-03-19 |
| 1760998066 | Lisa Ann M Wilson | Pharmacist | 19500 Se Stark St, Portland, OR 97233-5757 | 2017-12-21 |
| 1518471481 | Dustin Trung Khuu | Pharmacist | 19500 Se Stark St, Portland, OR 97233 | 2017-11-29 |
| 1437672193 | Gregory C Dalton | Counselor | 19500 Se Stark St, Portland, OR 97233-5757 | 2017-07-24 |
| 1891246989 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19500 Se Stark St, Portland, OR 97233-5757 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
| 1790176006 | Jacob Tang | Pharmacist | 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 | 2015-02-09 |
| 1902211196 | Danit Chetron | Pharmacist | 2323 Sw Caldew St, Portland, OR 97219-2618 | 2014-06-25 |
| 1023350881 | Joey Goren Degrood | Pharmacist | 9044 Sw Rystadt Ln, Portland, OR 97225-2851 | 2013-03-20 |
| 1831435213 | James L Huang | Pharmacist | 300 N Graham St Ste 200, Portland, OR 97227 | 2012-12-12 |
| 1972853331 | Sharon Leigh | Pharmacist | 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1649544107 | Ryan Bradley | Pharmacist | 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 | 2012-03-01 |
| 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.