PENNY JUDALENA
NPI 1063969913
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Beaverton, OR

Active since September 08, 2016
4855 SW WESTERN AVE, BEAVERTON, OR 97005(503) 350-3128(503) 626-4149 Get Directions Write a Review

NPPES record last updated: December 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny Judalena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNY JUDALENA (NPI 1063969913) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Beaverton, Oregon, licensed in Oregon (9688) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1063969913
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NamePENNY JUDALENA
Location Address4855 SW WESTERN AVEBeaverton, OR 97005-3460
Mailing Address4855 Sw Western AveBeaverton, OR 97005-3460 · (503) 350-3128 · Fax (503) 626-4149
Fax(503) 626-4149
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
Last NPPES UpdateDecember 8, 2019
NPI 1063969913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in OR · 9688
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License RPH-0009688 (OR)
4855 SW WESTERN AVE, Beaverton, OR 97005

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Physician Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Family Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Internal Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Dental Hygienist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penny Judalena's NPI number?

The NPI number for Penny Judalena is 1063969913. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Penny Judalena located?

Penny Judalena practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (503) 350-3128.

What is Penny Judalena's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Penny Judalena was last updated on December 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.