Oregon State University

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0010734 Issued in OR

Legal business name

OREGON STATE UNIVERSITY

Practice address

203 Pharmacy BLDG
Corvallis, OR 97331-8537

Phone

(541) 737-5786

NPI assigned

Aug 9, 2012

Last updated

Aug 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Hawk

Title

Director Office Sponsored Projects

Phone

(541) 737-4933

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oregon State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ous Oregon State University

  dba Student Health Services Medical Laboratory

  • Clinical Medical Laboratory
  • Corvallis, OR
  • NPI 1568882454
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny Nguyen

  • Student in an Organized Health Care Education/Training Program
  • Corvallis, OR
  • NPI 1902646946
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1386991362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PHARMACY BLDG",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318537",
            "telephone_number": "541-737-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PHARMACY BLDG",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318537",
            "telephone_number": "541-737-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR OFFICE SPONSORED PROJECTS",
        "authorized_official_telephone_number": "541-737-4933"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0010734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHARMACY",
            "identifier": "RPH-0010734",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optum Behavioral Care of Colorado, P.C. (Eugene Therapy of Oregon)
• Oral Surgery Associates, PC
• Oregon CVS Pharmacy LLC (CVS Pharmacy #11659)
• Oregon Physical Therapy at Timberhill LLC
• Oregon Sportscare LLC
• Oregon State University Student Health Services
• Oregon Wellness Solutions LLC
• Deana Anela Ornong
• Caitlin Orr
• Maria Patricia Orr, QMHP

• Pharmacist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.