Cassandra Vallejo Vielma, PHARMD STUDENT

Primary specialty

PharmacistTaxonomy code 183500000X

License

PI0012691 Issued in OR

Practice address

30399 SW Thomas St Unit 2506
Wilsonville, OR 97070-6645

Phone

(541) 212-3834

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1588178933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30399 SW THOMAS ST UNIT 2506",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706645",
            "telephone_number": "541-212-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30399 SW THOMAS ST UNIT 2506",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706645",
            "telephone_number": "541-212-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIELMA",
        "first_name": "CASSANDRA",
        "middle_name": "VALLEJO",
        "credential": "PHARMD STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "PI0012691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Van Ostenbridge
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• Benjamin Vega
• Kayla Victor, DPT
• Village Dental
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• Visionworks, Inc. (Visionworks)
• Lindsay Vogler
• Paula R Voorhis, PTA, CKTP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.