DR. PAUL U YUTAN (NPI# 1114963196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114963196 |
| Entity Type | Individual |
| Full Name | DR. PAUL U YUTAN |
| Credential | M.D. |
| Practice Address |
13007 Ne Glisan St Portland OR 97230-2545 |
| Mailing Address |
4531 Se Belmont St Suite 100 Portland OR 97215-1675 |
| Practice Telephone | 5032153859 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD24270 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 181616 | 05 |
| Street Address |
13007 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757447 | Luis Felipe Rodriguez | Internal Medicine | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2005-08-10 |
| 1457995292 | Emily Ballou | Licensed Practical Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2019-11-05 |
| 1407499577 | Melissa Smith | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2019-10-22 |
| 1942773114 | Hannah Justine Heller | Social Worker | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2019-01-09 |
| 1396210100 | Anne Wallis | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2018-10-08 |
| 1003397449 | Linda Marie Maier | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2018-08-23 |
| 1861906497 | Venae Nolan Rodriguez | Social Worker | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2017-11-17 |
| 1568973295 | Torbari Ngia Gbaanador | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2017-10-20 |
| 1215470331 | Dianne Marie Denotter | Dietitian, Registered | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2016-11-21 |
| 1851849368 | Cheryl Ann Roth | Physical Therapy Assistant | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107302 | Vpa PC | Internal Medicine | 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 | 2020-05-29 |
| 1073167730 | Oregon Adult Medicine PC | Internal Medicine | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-07-30 |
| 1265889265 | Jared Tobolski | Internal Medicine | 22 Bramhall St Dept Of, Portland, ME 04102-3175 | 2016-05-19 |
| 1528421039 | Celine Haotian Zhou | Internal Medicine | 3181 Sw Sam Jackson Park Rd, L-579, Ohsu, Portland, OR 97239 | 2016-04-01 |
| 1043685407 | Michael David Fox | Internal Medicine | 1015 Nw 22nd Ave # 230, Portland, OR 97210-3025 | 2015-12-09 |
| 1134516701 | Anne Longtine | Internal Medicine | 65 Waterville St, Portland, ME 04101 | 2015-04-22 |
| 1184016099 | Wendy W Yu | Internal Medicine | 9135 Sw Barnes Rd Ste 763, Portland, OR 97225-6777 | 2015-03-02 |
| 1639586191 | Stefan Christison | Internal Medicine | 1120 Nw 20th Ave Ste 110, Portland, OR 97209-1591 | 2014-07-16 |
| 1336551555 | Lee Michael Anthony | Internal Medicine | 9205 Sw Barnes Rd Mt-2800, Portland, OR 97225-6603 | 2014-05-22 |
| 1558772889 | Kyaw Zin Thein | Internal Medicine | 3485 S Bond Ave, Portland, OR 97239-4503 | 2014-05-08 |
| Find all providers in PORTLAND | ||||
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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.