IndividualActive
Penny Judalena
NPI 1063969913 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Beaverton, OR
Provider details
- NPI number
- 1063969913
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RPH-0009688 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4855 Sw Western Ave
Beaverton, OR 97005-3460
Phone: (503) 350-3128
Fax: (503) 626-4149
Street-level locationGet directions
Mailing address
4855 Sw Western Ave
Beaverton, OR 97005-3460
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2019-12-08
- Certified
- 2019-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.