GERALD B RICH MD PC (NPI# 1043693864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043693864 |
| Entity Type | Organization |
| Organization Name | GERALD B RICH MD PC |
| Other Organization Name | PACIFIC SLEEP PROGRAM |
| Practice Address |
11790 Sw Barnes Rd Ste 330 Portland OR 97225-5935 |
| Practice Telephone | 5032284414 |
| Practice Fax Number | 5032287293 |
| Mailing Telephone | 5032284414 |
| Mailing Fax Number | 5032287293 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | DR. RADHIKA SEKHRI BREADEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5032284414 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD22150 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PACIFIC SLEEP PROGRAM | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 Exchange St Ste 302, Astoria, OR 971033364 | 5033253126 | 5032284414 |
| Street Address |
11790 SW BARNES RD STE 330 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842554 | Jennifer Kim | Internal Medicine | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2005-06-22 |
| 1942715487 | Amanda Do Huang | Physician Assistant | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2017-12-06 |
| 1871909028 | Mariah Louise Franclemont | Physician Assistant | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2014-07-09 |
| 1841508009 | Brianna Rider Hanson | Physician Assistant | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2010-09-21 |
| 1154462257 | Radhika Sekhri Breaden | Internal Medicine | 11790 Sw Barnes Rd Ste 330, Portland, OR 97225-5935 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194770370 | Daniel Bryan Root | Internal Medicine | 2228 Nw Pettygrove St, Portland, OR 97210-2608 | 2006-05-24 |
| 1528334604 | Somnique Health PC | Internal Medicine | 9450 Sw Barnes Rd, Suite# 140, Portland, OR 97225-6619 | 2012-03-22 |
| 1083855175 | Gerald B Rich, Md, PC | Internal Medicine | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2009-03-19 |
| 1700088838 | Curtis R Holzgang | Internal Medicine | 9205 Sw Barnes Rd, Suite 20, Portland, OR 97225-6603 | 2007-06-01 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| 1386754398 | Eastmoreland Ear, Nose & Throat, Clinic, LLP | Internal Medicine | 9200 Se 91st Ave, Suite 200, Portland, OR 97266-6756 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740590272 | Julio Roberto Noda Milla | Internal Medicine | 890 Oak St Se Ste 3060, Salem, OR 97301 | 2010-10-18 |
| 1154716900 | Chloe Brandow Manchester | Internal Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-03-30 |
| 1255618955 | Natalia Usatii | Internal Medicine | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-11-08 |
| 1578873097 | Salem Sleep Medicine, PC | Internal Medicine | 925 Commercial St Se, Suite 102, Salem, OR 97302-4172 | 2010-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.