TRISTAN NADIENE FUJITA (NPI# 1114219466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219466 |
| Entity Type | Individual |
| Full Name | TRISTAN NADIENE FUJITA |
| Credential | ATC-R, OTC |
| Practice Address |
831 Nw Council Dr Ste 130 Gresham OR 97030-3722 |
| Mailing Address |
16790 Se Davidoff Way Damascus OR 97089-5807 |
| Practice Telephone | 5034891122 |
| Mailing Telephone | 3602041035 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-10139459 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
831 NW COUNCIL DR STE 130 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801232483 | Open Advanced Mri of Gresham Ps | Specialist/Technologist, Other | 1026 Nw Sleret Ave, Gresham, OR 97030-5504 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274355 | Jonica Marie Pile | Specialist/Technologist, Other | 14021 Ne Russell St, Portland, OR 97230-3836 | 2017-02-21 |
| 1659711307 | Ricky James Scotton | Specialist/Technologist, Other | 2616 Se 154th Ave, Portland, OR 97236-2270 | 2013-06-26 |
| 1467744458 | Crystal Drake | Specialist/Technologist, Other | 2481 Canterbury St, Eugene, OR 97404-1975 | 2011-05-09 |
| 1508199910 | Cory J Green | Specialist/Technologist, Other | 1796 Chelan St Ne, Keizer, OR 97303-2413 | 2009-09-16 |
| 1881843092 | Cooperative Perfusion Services | Specialist/Technologist, Other | 7727 Sw Boeckman Rd, Wilsonville, OR 97070-7751 | 2008-09-11 |
| 1124171236 | Leah Alfano | Specialist/Technologist, Other | 12975 Sw Beaverdam Rd, Beaverton, OR 97005-2126 | 2007-01-19 |
| 1073059754 | Daniel Lewis Fisher | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-01-18 |
| 1881081305 | Lauren Craig-staffeld | Specialist/Technologist, Other | 315 Nw Lost Springs Ter, Unit 307, Portland, OR 97229-6444 | 2015-04-22 |
| 1871902031 | Laurie Davis | Specialist/Technologist, Other | 711 Medford Ctr, #318, Medford, OR 97504-6772 | 2014-08-12 |
| 1932510146 | Robert Craig Warren | Specialist/Technologist, Other | 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1121 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
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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.