GLORIA PATRICIA FUENTES (NPI# 1588025795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588025795 |
| Entity Type | Individual |
| Full Name | GLORIA PATRICIA FUENTES |
| Practice Address |
16600 Se Mcgillivray Blvd Vancouver WA 98683-3419 |
| Mailing Address |
800 Ne Tenney Rd Vancouver WA 98685-2831 |
| Practice Telephone | 3602603333 |
| Practice Fax Number | 3602603327 |
| Mailing Telephone | 3605712573 |
| Mailing Fax Number | 3605712567 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS46672 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH0014256 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH60492551 | WA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH0014256 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755022 | Gloria Fuentes | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2019-02-01 |
| 1760415293 | Gloria Fuentes | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-08 |
| Street Address |
16600 SE MCGILLIVRAY BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599783 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 16600 Se Mcgillivray Blvd, Vancouver, WA 98683-3419 | 2006-06-23 |
| 1437554003 | Francis Djorgee | Pharmacist | 16600 Se Mcgillivray Blvd, Vancouver, WA 98683-3419 | 2014-10-24 |
| 1245660505 | David Tran | Pharmacist | 16600 Se Mcgillivray Blvd, Vancouver, WA 98683-3419 | 2013-11-22 |
| 1780958371 | Robert Bachelder | Pharmacist | 16600 Se Mcgillivray Blvd, Vancouver, WA 98683-3419 | 2012-02-29 |
| 1053685891 | David Eric Mellin | Pharmacist | 16600 Se Mcgillivray Blvd, Vancouver, WA 98683-3419 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| 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 |
|---|---|---|---|---|
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1417486127 | Teresa Michele Vaeretti | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684 | 2017-06-06 |
| 1942751755 | Alison M Johnston | Pharmacist | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-10-17 |
| 1003366782 | Abera Geleto Abu | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2016-10-06 |
| 1578012738 | Shalli Deyo | Pharmacist | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-09-29 |
| 1083080634 | Lisa Janssen Carlson | Pharmacist | 5400 Macarthur Blvd, Vancouver, WA 98661-7049 | 2015-08-18 |
| 1427424084 | Robin Carney | Pharmacist | 5400 Macarthur Blvd, Vancouver, WA 98661-7049 | 2015-08-18 |
| 1124442587 | Ann L Anthony | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-02-05 |
| 1114369519 | Judith Annette Richardson | Pharmacist | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2013-07-25 |
| 1669720645 | Ciprian Bogdan Pascu | Pharmacist | 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 | 2012-08-21 |
| Find all providers in VANCOUVER | ||||
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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.