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Dr. Nicholas Cal Vandersloot , PharmD

Pharmacist β€’ Siletz, OR

Active NPI 1982988267 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Gwee Shut Rd
Siletz, OR 973802036

Call 5414441030 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

200 Gwee Shut Rd

Siletz, OR 973802036

Telephone 5414441030
Fax 5414449695
Organization at the Same NPPES Address or Phone
Confederated Tribes Of Siletz Facility NPI 1154837383

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

NPI first issued

2011

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 Siletz and Oregon

3 active clinicians are listed under Pharmacist with a practice address in Siletz, OR (3,575 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Addresses are self-reported to NPPES and may be out of date.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: 2022-10-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OR RPH-0012859

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

Clinicians Sharing This Practice Address or Phone

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

10 listed
Patricia Canning , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265474316

Psychiatric-Mental Health Nurse Practitioner

Jennifer Drayton , FNP-C

Nurse Practitioner - Family

NPI 1982030458

Family Nurse Practitioner (Certified)

Dr. Lisa Emond , MD

Internal Medicine

NPI 1033101324

Doctor of Medicine (M.D.)

William Fisher , PA-C

Physician Assistant

NPI 1427108455

Physician Assistant (Certified)

NPI 1588775092

Doctor of Medicine (M.D.)

Katie Flickinger

Nurse Practitioner - Family

NPI 1982142998

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 14, 2022

Registered at 200 GWEE SHUT RD, SILETZ, OR 973802036 (Tel: 5414441030)

πŸ“
Updated Business Mailing Address October 14, 2022

Registered at PO BOX 320, SILETZ, OR 973800320 (Tel: 5414441030)

βœ…
NPI Profile Active October 04, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2011

Registered at 10860 SE OAK ST, MILWAUKIE, OR 972226694 (Tel: 5036528058)

πŸ“
Business Mailing Address (Initial Record) October 04, 2011

Registered at 4200 SW 107TH AVE, APT 1305, BEAVERTON, OR 970053177

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2011

Recorded as NICHOLAS VANDERSLOOT, PHARM.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2011

Pharmacist (license number reported to NPPES: OR RPH-0012859)

🟒
Initial NPI Registration & Enumeration October 04, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982988267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2011
Last Update: October 14, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 320

Siletz, OR 973800320

Phone: 5414441030

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.