KIMBERLY KAUZLARICH (NPI# 1750788790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750788790 |
| Entity Type | Individual |
| Full Name | KIMBERLY KAUZLARICH |
| Credential | PHARMD |
| Practice Address |
3710 Sw Veterans Hospital Rd Portland OR 97239-2964 |
| Practice Telephone | 5032208262 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| 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 |
051294983 | IL | Pharmacy Service Providers |
| Street Address |
3710 SW VETERANS HOSPITAL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847849 | Deborah Janet Cohen | Radiology | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-07-06 |
| 1215540943 | Stephanie Suzanne Brown | Social Worker | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-08-24 |
| 1003478587 | Elizabeth Grover | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2019-07-03 |
| 1356829915 | Meghan L Kauffman | Registered Nurse | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-08-04 |
| 1760991954 | Amber Ann Bisnu | Licensed Practical Nurse | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2017-09-20 |
| 1659802494 | Corey Stephen Malensek | Dentist | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2017-03-23 |
| 1447604533 | Milynn Henkel | Dental Assistant | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2016-04-14 |
| 1306109897 | Ellen Lee | Optometrist | 3710 Sw Veterans Hospital Rd, R&d 14, Portland, OR 97239-2964 | 2012-06-19 |
| 1669702148 | Rebecca Louise Guild | Dentist | 3710 Sw Veterans Hospital Rd, Portland, OR 97239-2964 | 2010-01-06 |
| 1871733584 | Victoria Lee Church | Clinical Nurse Specialist | 3710 Sw Veterans Hospital Rd, P2ms, Portland, OR 97239-2964 | 2009-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| 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.