Peacehealth Medical Group, NPI 1922018639
Community/Retail Pharmacy in Springfield, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922018639
NPI Entity Type Organization
Provider Name Peacehealth Medical Group
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3333 Riverbend Dr, Springfield, OR, US
Provider Mailing Address 3333 Riverbend Dr, Springfield, OR, US, 974778800
Is Sole Proprietor? No
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Organization Official

Official Name RPH Vestalee Shrader
Official Position PHARMACY MANAGER - PIC
Phone 541-222-5816

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHAO1124
License State AK
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

PEACEHEALTH EMPLOYEE PHARMACY
Doing Business As

Business Address

Peacehealth Medical Group
3333 Riverbend Dr

Springfield, OR, US

Phone: 541-222-5800
Fax: 541-431-9149

Mailing Address

Peacehealth Medical Group
3333 Riverbend Dr
Springfield, OR, US
ZIP 974778800
Phone: 541-222-5800
Fax: 541-431-9149

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336S0011X

Suppliers

Pharmacy

PHNR.FO.60259219 WA No

333600000X

Suppliers

Pharmacy

RP-0000785-CS OR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
053967 OR MEDICAID 05
2077299 PK 01

Other Providers in OR, US

NPI Name Taxonomy Address

1558919068

MS, RD, LD Lucy Ramquist

Individual

Registered Dietitian

2891 Se Division St Apt 2

Portland, OR

1831388461

DR. PSY.D Thaen Chiam Saelee

Individual

Clinical Psychologist

3806 Tillicum Ln

Roseburg, OR

1548823552

MR. MD Nathaniel Justin Kelly

Individual

Student in an Organized Health Care Education/Training Program

500 Sw Ramsey

Grants Pass, OR

1366735995

MR. RPH Emmanuel Chukwuemeka Amadi

Individual

Pharmacist

7440 N Denver Ave

Portland, OR

1235794629

Chelsea Walker

Individual

Behavioral Analyst

2800 Sw Peaceful Ln

Portland, OR

1942611603

Torrey A Thille

Individual

Clinical Social Worker

2306 Ne Glisan St Ste 200

Portland, OR

1528691110

Northern Pediatrics Llc

Organization

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1447663810

MD Anh Linh Hoang

Individual

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1568978971

BCBA, LBA Steven Hardy

Individual

Behavioral Analyst

1675 Sw Marlow Ave Ste 200

Portland, OR

1598822892

DR. PHD Mark R Mcminn

Individual

Clinical Psychologist

18703 Ne Williamson Rd

Newberg, OR

1740905017

Shelby Ramer

Individual

Doula

435 Nw 17th St

Mcminnville, OR

1295450567

Karyssa Ann Endecott

Individual

Case Manager/Care Coordinator

435 Ne Evans St Ste A

Mcminnville, OR

1699246520

FNP-BC Yvonne Renee Martenia

Individual

Family Nurse Practitioner

1819 Nebraska Ave

Grants Pass, OR

1942925318

DR. DMD Rachel Lynn Mendazona

Individual

Dentist

199 Sw Shevlin Hixon Dr Ste A

Bend, OR

1225753692

Nicolle Asencio

Individual

Student in an Organized Health Care Education/Training Program

19500 Se Stark St

Portland, OR

1275258642

Talia Elizabeth Miller

Individual

Mental Health Counselor

8915 Sw Center St

Portland, OR

1033616602

MD Sherilyn M Destefano

Individual

Family Medicine Physician

4411 Sw Vermont St

Portland, OR

1578288932

The Counseling Place Llc

Organization

Counselor

745 Cleveland St

Lebanon, OR

1942925300

PA-C Sara J Wright

Individual

Medical Physician Assistant

7033 Ne Sandy Blvd

Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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