Active NPI
Christopher De Guzman
- Pharmacist
- Tigard, OR
National Provider Identifier
1730468166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0012738
- Practice address
- 9009 SW Hall Blvd
T-0345
Tigard, OR 97223-4432 - Phone
- (503) 639-3446
- NPI assigned
- Aug 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0012738 | OR | Primary |
Addresses
Primary practice location
9009 SW Hall Blvd
T-0345
Tigard, OR 97223-4432
Mailing address
9009 SW Hall Blvd
T-0345
Tigard, OR 97223-4432
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 |
|---|---|---|---|
| 0012738 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1730468166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9009 SW HALL BLVD",
"address_2": "T-0345",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 SW HALL BLVD",
"address_2": "T-0345",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234432",
"telephone_number": "503-639-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0012738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.