Trisha Tan Villanueva, PHARMD
Individual provider Active NPI Pharmacist · Sandy, OR
NPI 1609680370 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1609680370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0020212 (OR)
- Practice address
- 36860 Industrial Way
Sandy, OR 97055-7371 - Phone
- (503) 826-0206
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0020212 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0020212 | OR | Yes |
Addresses
Primary practice location
36860 Industrial Way
Sandy, OR 97055-7371
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.