Organization Active NPI

Coordinated Meducation Team LLC

  • Pharmacotherapy Pharmacist
  • Tigard, OR
National Provider Identifier
1790375848
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
Legal business name
COORDINATED MEDUCATION TEAM LLC
Practice address
10865 SW Highland Drive
Tigard, OR 97224-3510
Phone
(503) 530-8657
Fax
(503) 530-8657
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Ms. Carol A Van Horn, RPH
Title
Co-Owner/Consultant Pharmacist for
Phone
(503) 530-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P1200X Primary

Addresses

Primary practice location

10865 SW Highland Drive
Tigard, OR 97224-3510

Mailing address

10865 SW Highland Drive
Tigard, OR 97224-3510
Phone (503) 530-8657

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1790375848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10865 SW HIGHLAND DRIVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243510",
            "telephone_number": "503-530-8657",
            "fax_number": "503-530-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10865 SW HIGHLAND DRIVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243510",
            "telephone_number": "503-530-8657",
            "fax_number": "503-530-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED MEDUCATION TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER/CONSULTANT PHARMACIST FOR",
        "authorized_official_telephone_number": "503-530-8657",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": null,
            "license": null,
            "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 Jan 22, 2021; 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.