Srilatha Tavisala, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0013282 Issued in OR

Practice address

7700 NE Ambassador PL
103
Portland, OR 97220-1394

Phone

(971) 230-0555

NPI assigned

Aug 26, 2012

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: stavisala457465@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1497003370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SW BOND AVE",
            "address_2": "530",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394706",
            "telephone_number": "503-343-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NE AMBASSADOR PL",
            "address_2": "103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201394",
            "telephone_number": "971-230-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVISALA",
        "first_name": "SRILATHA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Tauzik
• Jacob Paul Tauzin, HIS
• Emmanuel Trungtoan Tavan, MD
• Bert G Tavelli, MD
• Jay Tavis
• Sidhartha Tavri, M.D.
• Elliot Trustin Taxman, ND, MS
• Ci an Gerald Tay
• David Tay, MD
• Taya Lindley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.