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Tim Richard Criswell , CPHT

Pharmacy Technician β€’ Gresham, OR

Active NPI 1780201426 Individual Practitioner Male Practitioner
Practice location in NPPES

600 Ne 8th St
Gresham, OR 970307317

Call 5039885154 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

600 Ne 8th St

Gresham, OR 970307317

Telephone 5039885154
Fax 5039885509
Organization at the Same NPPES Address or Phone
Multnomah County Facility NPI 1518005693

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

3 active clinicians are listed under Pharmacy Technician with a practice address in Gresham, OR (156 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-17
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

License # reported to NPPES OR CPT-0001684

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Lindsay Braun , MD

Family Medicine

NPI 1821354366

Doctor of Medicine (M.D.)

NPI 1063749802

Doctor of Medicine (M.D.)

Shelby Freed , FNP-C

Nurse Practitioner - Family

NPI 1275811549

Family Nurse Practitioner (Certified)

NPI 1992143291

Doctor of Dental Medicine

NPI 1952348096

Doctor of Medicine (M.D.)

NPI 1770786220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 17, 2023

Registered at 600 NE 8TH ST, GRESHAM, OR 970307317 (Tel: 5039885154)

πŸ“
Updated Business Mailing Address October 17, 2023

Registered at 979 NE HOOD AVE, GRESHAM, OR 970305616 (Tel: 5035758185)

βœ…
NPI Profile Active June 29, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2020

Registered at 619 NW 6TH AVE, PORTLAND, OR 972093964 (Tel: 5039885267)

πŸ“
Business Mailing Address (Initial Record) June 29, 2020

Registered at 4123 NE SUMNER ST, PORTLAND, OR 972118074 (Tel: 5035758185)

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2020

Recorded as TIM CRISWELL, CPHT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Pharmacy Technician (license number reported to NPPES: OR CPT-0001684)

🟒
Initial NPI Registration & Enumeration June 29, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780201426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2020
Last Update: October 17, 2023
Sole Proprietor: No

Mailing Address

979 Ne Hood Ave

Gresham, OR 970305616

Phone: 5035758185

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.