MS. MARY F. FOLAN LAUCKA (NPI# 1720220684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720220684 |
| Entity Type | Individual |
| Full Name | MS. MARY F. FOLAN LAUCKA |
| Credential | PHARM.D. |
| Practice Address |
4560 Se International Way Suite 101 Portland OR 97222-4628 |
| Practice Telephone | 9712065202 |
| Mailing Telephone | 9712065202 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
0011523 | OR | Pharmacy Service Providers |
| Street Address |
4560 SE INTERNATIONAL WAY SUITE 101 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97222-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342215 | Kevin Smith | Pharmacist | 4560 Se International Way, Portland, OR 97222-4628 | 2018-07-04 |
| 1871982397 | Lara Medinger | Occupational Therapist | 4560 Se International Way, Suite 100, Portland, OR 97222-4628 | 2015-01-21 |
| 1083014088 | Weifan Yuan | Physical Therapist | 4560 Se International Way, Portland, OR 97222-4628 | 2014-08-26 |
| 1063829521 | Kimberly Elkins | Speech-Language Pathologist | 4560 Se International Way, Portland, OR 97222-4628 | 2014-07-16 |
| 1801218615 | Heather De Veux | Physical Therapist | 4560 Se International Way, Portland, OR 97222-4628 | 2014-01-14 |
| 1841612140 | Gina Marie Dugan | Occupational Therapy Assistant | 4560 Se International Way, Suite 101, Portland, OR 97222-4628 | 2014-01-06 |
| 1134421779 | Consonus Healthcare Services | Skilled Nursing Facility | 4560 Se International Way, Suite 100, Portland, OR 97222-4628 | 2010-12-02 |
| 1073704201 | Kealy S Adams | Speech-Language Pathologist | 4560 Se International Way, Portland, OR 97222-4628 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1902964810 | George R Gerding | Pharmacist | 1429 Se 55th Ave, Portland, OR 97215-2665 | 2006-12-04 |
| 1992218838 | Kristen Massing Wilson | Pharmacist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-11-14 |
| 1730423195 | Roger Goodwin Wilmot Jr. | Pharmacist | 97 Mcalister Farm Rd, Portland, ME 04103-5946 | 2012-11-23 |
| 1508110453 | Ginnie Lee Johnson | Pharmacist | 16100 Sw 72nd Ave, Portland, OR 97224-7745 | 2012-10-30 |
| 1538499900 | Terry Mac Green | Pharmacist | 16100 Sw 72nd Ave, Portland, OR 97224-7745 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346681210 | Jason Scott Renoud | Pharmacist | 550 1st St, Scotts Mills, OR 97375-7002 | 2013-07-08 |
| 1124359427 | Parisa N. Parvini | Pharmacist | Payless Longterm Care Pharmacy, 16100 Sw 72nd Ave, Tigard, OR 97224 | 2010-01-26 |
| 1912109943 | Nicolle King Deering | Pharmacist | 20605 Sw Prindle Rd, Tualatin, OR 97062-9701 | 2007-06-01 |
| 1467862110 | Katherine Fortner | Pharmacist | 28717 Grumman Dr, Eugene, OR 97402-9542 | 2014-05-04 |
| 1992006068 | Everett Anthony Keeler | Pharmacist | 1983 S Main St, Lebanon, OR 97355-3142 | 2010-11-05 |
| 1215247200 | Annie Ratliff Capelle | Pharmacist | 16100 Sw 72nd Ave, Tigard, OR 97224-7745 | 2010-10-08 |
| 1124353321 | Brian Snyder | Pharmacist | 16100 Sw 72nd Ave, Tigard, OR 97224-7745 | 2009-10-06 |
| 1073745402 | Jennifer Ng-look | Pharmacist | 16100 Sw 72nd Ave, Tigard, OR 97224-7745 | 2009-08-18 |
| 1538234844 | Scott A Mitchell | Pharmacist | 4560 Se International Way, Consonus Pharmacy Services, Milwaukie, OR 97222 | 2006-11-21 |
| 1649377235 | Karen Marie Neal | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-09-17 |
| Find all providers with the same taxonomy | ||||
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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.