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Dr. Laura Davis , PharmD

Pharmacist β€’ Portland, OR

Active NPI 1326525577 Individual Practitioner Female Practitioner
Practice location in NPPES

3036 Ne Mlk Jr Blvd
Portland, OR 972123053

Call 5032833763 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

3036 Ne Mlk Jr Blvd

Portland, OR 972123053

Telephone 5032833763
Fax 5037350912
Organization at the Same NPPES Address or Phone
Cascadia Health Facility NPI 1750959748

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

NPI first issued

2018

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 Portland and Oregon

932 active clinicians are listed under Pharmacist with a practice address in Portland, OR (3,575 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 932 clinicians have the CMS telehealth indicator.

0% of these 932 clinicians are listed by CMS as accepting Medicare assignment.

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: 2023-04-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OR RPH-0015753

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500750822 (OR)

Clinicians Sharing This Practice Address or Phone

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

7 listed
Sandra Ford , PA-C

Physician Assistant

NPI 1013026723

Physician Assistant (Certified)

Dr. Patricia Gardner , MD

Psychiatry & Neurology - Psychiatry

NPI 1326114760

Doctor of Medicine (M.D.)

Dr. Moses Ijaz , DO

Psychiatry & Neurology - Psychiatry

NPI 1558325902

Doctor of Osteopathic Medicine (D.O.)

Dr. Ikram Khaliq , MD

Internal Medicine

NPI 1932831609

Doctor of Medicine (M.D.)

Brandon Larsen , FNP, RN

Nurse Practitioner - Family

NPI 1730532573

Family Nurse Practitioner, Registered Nurse

Dr. Andrea Matsumura , MD

Internal Medicine

NPI 1487761136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location April 19, 2023

Registered at 3036 NE MLK JR BLVD, PORTLAND, OR 972123053 (Tel: 5032833763)

πŸ“
Updated Business Mailing Address April 19, 2023

Registered at PO BOX 8459, PORTLAND, OR 972078459

πŸ“
Updated Business Mailing Address April 20, 2020

Registered at 7320 SW HUNZIKER RD STE 300, PORTLAND, OR 972232302 (Tel: 5039413033)

πŸ“
Updated Practice Location September 17, 2019

Registered at 10690 NE CORNELL RD STE 220, HILLSBORO, OR 971249224 (Tel: 5038485861)

πŸ“
Updated Business Mailing Address September 17, 2019

Registered at 7320 SW HUNZIKER RD STE 300, TIGARD, OR 972232302 (Tel: 5039413033)

βœ…
NPI Profile Active July 20, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 20, 2018

Registered at 1270 KOT-NUM RD., WARM SPRINGS, OR 97761 (Tel: 5415531196)

πŸ“
Business Mailing Address (Initial Record) July 20, 2018

Registered at 1270 KOT-NUM RD., WARM SPRINGS, OR 97761 (Tel: 5415531196)

πŸ‘€
Provider Name / Credentials (Initial Record) July 20, 2018

Recorded as LAURA DAVIS, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2018

Pharmacist (license number reported to NPPES: OR RPH-0015753)

🟒
Initial NPI Registration & Enumeration July 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326525577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2018
Last Update: April 19, 2023
Sole Proprietor: No

Other Pharmacists in Portland

All Pharmacists in Portland

Mailing Address

Po Box 8459

Portland, OR 972078459

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.