Active NPI
Tina Woo, PHARM D
- Pharmacist
- Portland, OR
National Provider Identifier
1013149491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0011648
- Practice address
- 7280 Beaverton Hillsdale Hwy
Portland, OR 97225 - Phone
- (503) 296-7454
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0011648 | OR | Primary |
| Pharmacist | 183500000X | PH00048844 | WA |
Addresses
Primary practice location
7280 Beaverton Hillsdale Hwy
Portland, OR 97225
Mailing address
500 NW 167TH Ave.
Beaverton, OR 97006
Phone (503) 617-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0011648 | OR | MD | Pharmacist |
| PH00048844 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1013149491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NW 167TH AVE.",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-617-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7280 BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-296-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "TINA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0011648",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00048844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.