Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104518810 Individual Practitioner Male Practitioner

Dr. Edward Nguyen Khoi Phan , PharmD

Pharmacist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Edward Phan, PharmD is a registered healthcare professional specializing in Pharmacist in Portland, OR. Practice services are available at 10123 SE MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10123 Se Market St

Portland, OR 972162532

Telephone 5032572500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
942 Specialists

Practicing in Portland, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR RPH-0015800

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License WA PH60660128

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003208950

RNBC

NPI 1013184977

Doctor of Medicine (M.D.)

Austin Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013534346

Certified Registered Nurse Anesthetist

Dr. Nam Trinh , MD

Emergency Medicine

NPI 1013596576

Doctor of Medicine (M.D.)

Heather Robbins , PA-C

Physician Assistant

NPI 1023567179

Physician Assistant (Certified)

NPI 1033597083

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 10123 SE MARKET ST, PORTLAND, OR 972162532 (Tel: 5032572500)

📍
Updated Business Mailing Address May 22, 2023

Registered at 3535 SW 173RD AVE, BEAVERTON, OR 970034525 (Tel: 5038051137)

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as EDWARD PHAN, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Pharmacist (License #PH60660128 in WA)

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104518810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: May 22, 2023
Sole Proprietor: Yes

Mailing Address

3535 Sw 173rd Ave

Beaverton, OR 970034525

Phone: 5038051137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.