Active NPI
Gina Lee Shaaban
- Pharmacist
- Oregon City, OR
National Provider Identifier
1679913917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0009819
- Practice address
- 1839 Molalla Ave
Oregon City, OR 97045-4011 - Phone
- (503) 657-1483
- Fax
- (503) 657-1480
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0009819 | OR | |
| Pharmacist | 183500000X | 0009819 | OR | Primary |
Addresses
Primary practice location
1839 Molalla Ave
Oregon City, OR 97045-4011
Mailing address
1839 Molalla Ave
Oregon City, OR 97045-4011
Phone (503) 657-1483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009819 | OR | MD | Pharmacist |
| RPH-0009819 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1679913917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 MOLALLA AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454011",
"telephone_number": "503-657-1483",
"fax_number": "503-657-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 MOLALLA AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454011",
"telephone_number": "503-657-1483",
"fax_number": "503-657-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAABAN",
"first_name": "GINA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0009819",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0009819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.