Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1548692817 Deactivated / Inactive NPI Female Practitioner

Theresa T Van , RPH

Pharmacist • Tigard, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Theresa Van has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2013
NPI Deactivation Date October 11, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Theresa Van, RPH was a registered Pharmacist practicing in Tigard, OR. Throughout an active medical career spanning 11 years, Theresa Van provided care at the practice location at 11565 SW PACIFIC HWY until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

11565 Sw Pacific Hwy

Tigard, OR 972238845

Telephone 5032937085
Associated Practice Facility / Clinic
🏢 Fred Meyer Stores Inc Facility NPI 1063458925

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tigard, OR

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

Practicing in Tigard, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR 10104

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

8 Associated Practitioners
Richard Barlow

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1437879962
NPI 1457691727

Registered Pharmacist

NPI 1518789668
Dr. Jenell Henson , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1629084496

Doctor of Pharmacy (Pharm.D.)

Dr. Nghi Nguyen , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1740151786

Doctor of Pharmacy (Pharm.D.)

NPI 1821438557

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

15 Historical Events
⚠️
NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

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Updated Practice Location June 04, 2021

Registered at 703 NE HANCOCK ST, PORTLAND, OR 972123955 (Tel: 5032309875)

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Updated Business Mailing Address June 04, 2021

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Pharmacist (License #RPH-0010104 in OR)

NPI Profile Active May 02, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2017

Registered at 3122 NE 155TH AVE, PORTLAND, OR 972304430 (Tel: 5032937085)

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Updated Business Mailing Address May 02, 2017

Registered at 3122 NE 155TH AVE, PORTLAND, OR 972304430 (Tel: 5038419886)

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Provider Name / Credentials Updated May 02, 2017

Recorded as THERESA VAN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2017

Pharmacist (License #10104 in OR)

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2013

Registered at 11565 SW PACIFIC HWY, TIGARD, OR 972238845 (Tel: 5032937085)

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Updated Business Mailing Address August 08, 2013

Registered at 11565 SW PACIFIC HWY, TIGARD, OR 972238845 (Tel: 5032967085)

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Provider Name / Credentials Updated August 08, 2013

Recorded as THERESA VAN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Pharmacist (License #10104 in OR)

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Initial NPI Registration & Enumeration August 08, 2013

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: 1548692817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2013
Last Update: August 08, 2013
Deactivation Date: October 11, 2024

Mailing Address

11565 Sw Pacific Hwy

Tigard, OR 972238845

Phone: 5032967085

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.