MARK BALYSHEV (NPI# 1821535840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821535840 |
| Entity Type | Individual |
| Full Name | MARK BALYSHEV |
| Credential | RPH |
| Practice Address |
2602 Se Bella Vista Rd Vancouver WA 98683-7616 |
| Mailing Address |
16300 Se Evelyn St, Clackamas, Or 97015 Portland OR 97015 |
| Practice Telephone | 5038103786 |
| Mailing Telephone | 5033059700 |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 60671067 | WA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0015760 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0015760 | OR | Pharmacy Service Providers |
| Street Address |
2602 SE BELLA VISTA RD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-7616 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797798 | Jordan Kathleen Hurley | Pharmacist | 3905 Ne 89th Way, Vancouver, WA 98665-5329 | 2020-07-06 |
| 1639793474 | Christina Putnam | Pharmacist | 16811 Se Mcgillivray Blvd Ste 101, Vancouver, WA 98683-3404 | 2020-06-06 |
| 1306404041 | Couper D Millar | Pharmacist | 14313 Ne 20th Ave Ste 109, Vancouver, WA 98686-1487 | 2019-05-29 |
| 1811472780 | Dang Hai Pham | Pharmacist | 4110 Ne 127th Ave, Vancouver, WA 98682-6848 | 2018-09-26 |
| 1972095636 | Merna Saied | Pharmacist | 306 Se 169th Ave, Vancouver, WA 98684-8411 | 2018-05-30 |
| 1245741008 | Courtney Louie | Pharmacist | 7819 Se 17th St, Vancouver, WA 98664-1783 | 2017-10-19 |
| 1760912059 | Mai Thi Phuong Nguyen | Pharmacist | 6706 Ne 65th Ave, Vancouver, WA 98661-1509 | 2017-06-19 |
| 1407205263 | Jennifer Nadine Locsmandi | Pharmacist | 17701 Se Mill Plain Blvd, Apt 219, Vancouver, WA 98683-7549 | 2016-06-11 |
| 1275996027 | Eric J Lofgren | Pharmacist | 6926 E 4th Plain Blvd Ste B, Vancouver, WA 98661-7369 | 2016-03-30 |
| 1508234352 | Brittany Hisel | Pharmacist | 2209 Se 179th Ave, Vancouver, WA 98683-1844 | 2015-09-10 |
| 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.