RICHARD LUTZ (NPI# 1861801417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861801417 |
| Entity Type | Individual |
| Full Name | RICHARD LUTZ |
| Practice Address |
3411 Broadway Ave North Bend OR 97459-1201 |
| Mailing Address |
17305 Ne Albert Way Newberg OR 97132-6600 |
| Practice Telephone | 5417560118 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH0014109 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336433838 | Richard Walter Lutz | General Practice | 6123 Rocky Point Circle, Truckee, CA 96161 | 2011-06-02 |
| 1962783969 | Richard C Lutz | Pharmacist | 13807 English Villa Dr, Louisville, KY 40245-3994 | 2011-09-02 |
| 1578611265 | Richard Brock Lutz | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2007-01-08 |
| 1992755326 | Richard E Lutz | Medical Genetics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-10 |
| 1841294113 | Richard Lutz | Orthopaedic Surgery | 4700 Seton Center Pkwy, Ste 200, Austin, TX 78759-4107 | 2005-06-02 |
| Street Address |
3411 BROADWAY AVE |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932536406 | Takeshi Shikuma | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2013-09-30 |
| 1679051569 | April Rose White | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2018-08-01 |
| 1265937171 | Wendi Liszka | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2018-03-24 |
| 1952752149 | Tuan Lam | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1336629823 | Timothy Mcdonald | Pharmacist | 2040 Broadway Ave, North Bend, OR 97459-2328 | 2018-08-15 |
| 1407267727 | James Michael Dugan | Pharmacist | 3052 Triplecrown Dr, North Bend, OH 45052-9607 | 2014-05-09 |
| 1720419823 | John Anthony Ciarniello | Pharmacist | 9730 Mount Nebo Rd, North Bend, OH 45052-9721 | 2013-11-28 |
| 1932536406 | Takeshi Shikuma | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2013-09-30 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1114292935 | Scott Allen Curtis | Pharmacist | 46221 Se 139th Pl, North Bend, WA 98045-8600 | 2012-03-12 |
| 1023631843 | Zachary Adam Walter | Pharmacist | 460 Sw Mt Si Blvd, North Bend, WA 98045-8291 | 2020-05-27 |
| 1376164350 | Andrew Edwin Adams | Pharmacist | 2040 Broadway Ave, North Bend, OR 97459-2328 | 2020-05-01 |
| 1679051569 | April Rose White | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2018-08-01 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on RICHARD LUTZ.
| 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.