Active NPI
Candy Chau
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clackamas, OR
National Provider Identifier
1033714431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0017648
- Practice address
- 10100 SE Sunnyside Rd
Clackamas, OR 97015-8970 - Phone
- (866) 280-1228
- NPI assigned
- Dec 2, 2020
- Last updated
- Feb 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61043577 | WA | |
| Pharmacist | 183500000X | 0017648 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0017648 | OR | Primary |
Addresses
Primary practice location
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Mailing address
345 SW Harrison St
Portland, OR 97201-5364
Other practice location 1
30 Bellis Fair Pkwy
Bellingham, WA 98226-5573
Phone (360) 756-5720
Other practice location 2
345 SW Harrison St
Portland, OR 97201-5364
Phone (503) 327-0234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61043577 | WA | MD | Pharmacist |
| 0017648 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Current | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients |
Locations
345 SW Harrison St
Portland, OR 97201
Phone (503) 327-0234
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1033714431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SW HARRISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158970",
"telephone_number": "866-280-1228"
}
],
"practiceLocations": [
{
"address_1": "30 Bellis Fair Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982265573",
"country_code": "US",
"telephone_number": "360-756-5720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 SW Harrison St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972015364",
"country_code": "US",
"telephone_number": "503-327-0234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAU",
"first_name": "CANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61043577",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0017648",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0017648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.