ADA LI


Address: 1111 Ne 102nd Ave, Portland, OR 97220-3902
Phone: 5032555494

ADA LI (NPI# 1811500432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811500432
Entity Type Individual
Full Name ADA LI
Credential PHARMD
Practice Address 1111 Ne 102nd Ave
Portland
OR 97220-3902
Mailing Address 9934 Se Gladstone Ct
Portland
OR 97266-2755
Practice Telephone 5032555494
Mailing Telephone 5039848690
Enumeration Date 2020-08-24
Last Update Date 2020-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RPH-0017997 OR Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0017997 OR Pharmacy Service Providers

Office Location

Street Address 1111 NE 102ND AVE
City PORTLAND
State OR
Zip Code 97220-3902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174560205 National Vision, Inc. Eyewear Supplier (Equipment, not the service) 1111 Ne 102nd Ave, Portland, OR 97220-3902 2006-05-31
1083244412 Tiffany Pham Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2020-01-24
1598211393 Satta Jivagunchainan Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2016-08-31
1801284427 Quan Tran Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2015-01-05
1497164636 Muey Saechao Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2014-08-12
1487929394 Jessie Chan Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2012-03-12
1295000123 Sharon Chin Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2012-03-10
1336441138 Lam Thuy Kieu Pharmacist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2010-11-30
1669500278 Jill Scheiffele Optometrist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2007-03-02
1972644490 Margaret Mary Piatz Benck Optometrist 1111 Ne 102nd Ave, Portland, OR 97220-3902 2007-02-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
Find all providers in zip 97220

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

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.

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