Theresa Tait

Primary specialty

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

License

0009311 Issued in OR

Practice address

25900 SW Heather PL
Wilsonville, OR 97070-5785

Phone

(503) 825-4005

Fax

(503) 825-4023

NPI assigned

May 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1578856969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130 SE 84TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159733",
            "telephone_number": "503-794-5520",
            "fax_number": "503-794-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 SW HEATHER PL",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705785",
            "telephone_number": "503-825-4005",
            "fax_number": "503-825-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0009311",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0009311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Swartout
• Lisa Swartout
• Melissa Swingley, LMT
• Tait Switzer, PHARMD
• Synergy Medical Systems, LLC.
• Sharon Belding Tapia, PTA
• Telehelp LLC
• Brenda Tellez-Rojas, PT
• Ashlea Megan Tenner, LPC, CADC-I
• Maddison Terrell

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wilsonville, OR
• Providers in Wilsonville, 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 4, 2016; 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.