Jean Edson Simon

Primary specialty

PharmacistTaxonomy code 183500000X

License

0010145 Issued in OR

Practice address

1950 NE Burnside Rd
Gresham, OR 97030-7949

Phone

(503) 674-8482

NPI assigned

Apr 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edson Simon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1922324896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13888 SE 119TH DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156636",
            "telephone_number": "503-698-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NE BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307949",
            "telephone_number": "503-674-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEAN",
        "middle_name": "EDSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0010145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDSON",
            "last_name": "SIMON",
            "credential": "BSRPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine J Siemers, LMT
• Alexandra Marie Sigmon, NP
• Erika Sigrist, ND
• Myldred M Silvia, CRM/PSS/QMHA-I
• Michelle Christine Simmons, LPC
• Sharon Simonds
• Tamara Monic Sipp
• Sistere Inc.
• Six Elements Bodywork, LLC
• Ryan Lee Skelton, PSY. D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.