JONATHAN CLARK CRIST (NPI# 1134252851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134252851 |
| Entity Type | Individual |
| Full Name | JONATHAN CLARK CRIST |
| Credential | M.D. |
| Practice Address |
9250 Sw Hall Blvd Tigard OR 97223-6721 |
| Mailing Address |
800 Sw 13th Ave Portland OR 97205-1902 |
| Practice Telephone | 5032930161 |
| Practice Fax Number | 5032979357 |
| Mailing Telephone | 5032210161 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 6604923-8905 | UT | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD28274 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336296326 | Jonathan L. Crist | Psychiatry & Neurology | 172 E. Cushing St., Providence, RI 02906 | 2007-01-04 |
| 1649518424 | Jonathan David Crist | Specialist/Technologist, Other | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2013-01-29 |
| Street Address |
9250 SW HALL BLVD |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005410 | Michael Shihjay Chen | Family Medicine | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2005-09-30 |
| 1861904658 | Donna Marie-rogers Lane | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-11-01 |
| 1811411291 | Tina Louise Landeros | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-07-27 |
| 1558613414 | Katherine Claire Hammond | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2012-10-02 |
| 1811273402 | Dana L Marasco | Physical Therapist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2011-10-26 |
| 1326353988 | Barbara Jean Harris | Audiologist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-08-06 |
| 1255644589 | Leigh Hoagland Reece | Physical Therapist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-07-15 |
| 1841501269 | Melinda Lee Meeker | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-06-30 |
| 1336468404 | Burkley Snow | Surgery | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-05-27 |
| 1699905836 | Junko Lee | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003085630 | Peter Shelby Bogard Do | Family Medicine | 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527-5788 | 2008-02-28 |
| 1801079074 | Jennifer Dawn Kleinman | Family Medicine | 5704 N Montana Ave, Portland, OR 97217-4643 | 2007-12-11 |
| 1477667053 | M Joshua Haber | Family Medicine | 2401 River Rd Ste 101, Eugene, OR 97404-5412 | 2006-08-19 |
| 1760431175 | Karl Nicholas Kaluza | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-05-10 |
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1356305023 | David N Westerdahl | Family Medicine | 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 | 2006-04-12 |
| 1538138276 | Sekou Carlos Ford | Family Medicine | 18610 Nw Cornell Rd Ste 101, Hillsboro, OR 97124-9206 | 2006-03-15 |
| 1962470948 | Gregory C Skaggs | Family Medicine | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2006-03-08 |
| 1831165232 | Linda Craska Selby | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2006-02-24 |
| 1811967235 | Charles W Webb | Family Medicine | 1960 Nw 167th Pl Ste 200, Beaverton, OR 97006-4804 | 2006-01-26 |
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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.