Tonya Joy Bass, PHARMD
Individual provider Active NPI Pharmacist · Tualatin, OR
NPI 1124392089 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1124392089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0010583 (OR)
- Practice address
- 19200 SW Martinazzi Ave
Tualatin, OR 97062-6357 - Phone
- (503) 691-4233
- Fax
- (503) 691-4220
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010583 | OR | MD | Pharmacist |
| 0010583 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010583 | OR | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0010583 | OR |
Addresses
Primary practice location
19200 SW Martinazzi Ave
Tualatin, OR 97062-6357
Mailing address
19200 SW Martinazzi Ave
Tualatin, OR 97062-6357
Phone (503) 691-4233
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.