DR. MEGAN M KLENOW (NPI# 1104177450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104177450 |
| Entity Type | Individual |
| Full Name | DR. MEGAN M KLENOW |
| Credential | MD |
| Practice Address |
2211 Ne 139th St Vancouver WA 98686-2742 |
| Mailing Address |
2213 Se Main St Unit #2 Portland OR 97214-3980 |
| Practice Telephone | 5034132200 |
| Mailing Telephone | 7074831842 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD60312111 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD159692 | OR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | AFE114017 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2211 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642591 | Vivek J Murari | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-12 |
| 1174159297 | Celeste Morgan | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2020-03-20 |
| 1497393193 | Jessica Lyn Bilger | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-12-13 |
| 1144864521 | Breanne Mary Davis | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-10-29 |
| 1407336787 | Christine Garrow | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2018-08-16 |
| 1144743501 | Eric Austin Jordan Nash | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-07-18 |
| 1720528698 | Candace M Hart | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-02-27 |
| 1801343868 | Kathryn Norton | Pharmacist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2016-09-07 |
| 1114381084 | Eduardo Serpa | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686 | 2016-04-07 |
| 1699146696 | Thuan Huy Nguyen | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490545 | Jessica Lynn Jacoby | Pediatrics | 2404 Ne 187th Pl, Vancouver, WA 98684-6448 | 2017-11-15 |
| 1891215109 | Khalid Taha | Pediatrics | 4480 Oak Street, K4-151, Bc Children's Hospital, Vancouver, BRITISH COLUMBIA V6H 3V4 | 2017-06-27 |
| 1265798821 | Paul Joshua Goodwin | Pediatrics | 505 Ne 87th Ave Ste 120, Evergreen Pediatrics Clinic, Vancouver, WA 98664-1965 | 2012-04-09 |
| 1265722342 | Calvin Clayton Clark | Pediatrics | 6701 Se Evergreen Hwy, Vancouver, WA 98661 | 2011-04-11 |
| 1598977209 | Jason Daniel Wister | Pediatrics | 400 Northeast Mother Joseph Place, Vancouver, WA 98664 | 2007-05-04 |
| 1578589784 | Stacy Lynn Drasen | Pediatrics | 501 Se 172nd Ave Ste 150, Vancouver, WA 98684-9542 | 2006-07-14 |
| 1194704445 | Jean Marie Haggerty | Pediatrics | 7101 Ne 137th Ave Ofc, Vancouver, WA 98682-4933 | 2006-01-14 |
| 1043536980 | Jing Jing Wang | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2010-04-16 |
| 1396931523 | Lijuan Leslie Yu | Pediatrics | 11719 Ne 95th St, #f, Vancouver, WA 98682-2444 | 2007-09-21 |
| 1447457882 | Elzbieta Zdanowicz | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2007-06-29 |
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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.