Matthew Ito, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH40903 Issued in CA

Practice address

5805 SW Delker Rd
Tualatin, OR 97062-7753

Phone

(503) 638-1318

Fax

(503) 638-1318

NPI assigned

Jan 5, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1144737677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SW DELKER RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627753",
            "telephone_number": "503-638-1318",
            "fax_number": "503-638-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SW DELKER RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627753",
            "telephone_number": "503-638-1318",
            "fax_number": "503-638-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH40903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Northwest,LLC
• Keith Leland Ironside Jr., M.D.
• Julie Lynne Irvine, CSWA
• Emoniel Isakharov
• Michael A Isleman, ASCP
• J. Mason Depasse, MD, PC
• Desire Jackson
• Amy Beth Jacobsen, L.M.T.
• Hailei R. Jacobson
• Randy Lim Jailani, PTA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.