JANE KIMHOFFMAN (NPI# 1144314527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144314527 |
| Entity Type | Individual |
| Full Name | JANE KIMHOFFMAN |
| Credential | MD |
| Practice Address |
15220 Nw Laidlaw Rd Suite 100 Portland OR 97229-7716 |
| Practice Telephone | 5034182000 |
| Practice Fax Number | 5034182400 |
| Mailing Telephone | 5034182000 |
| Mailing Fax Number | 5034182400 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD154899 | OR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2000220 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | R160676 | 01 | |
| OR | 500637176 | 05 |
| Street Address |
15220 NW LAIDLAW RD SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285025742 | Joshua M Higginbotham | Counselor | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229-7716 | 2015-02-05 |
| 1508205485 | Lauren Ruth Disner | Marriage & Family Therapist | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229-7716 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
| Find all providers in zip 97229 | ||||
| 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 |
|---|---|---|---|---|
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| 1801162789 | Gabriel Larson | Pediatrics | 700 S.w. Campus Drive, 7th Floor, Portland, OR 97239 | 2012-03-26 |
| 1376833616 | Ashley Holsen | Pediatrics | 10000 Se Main St Ste 30, Portland, OR 97216-2461 | 2011-04-07 |
| 1477852259 | Kelsey Linde Richardson | Pediatrics | 3181 Sw Sam Jackson Hall Rd, Portland, OR 97239 | 2011-03-20 |
| 1093038986 | Seth M Williams | Pediatrics | 2801 N. Gantenbein Legacy Emanuel Medical Center, Randall Children's Hospital, Portland, OR 97227 | 2010-03-05 |
| 1669600904 | Erica Empey Benthin | Pediatrics | 205 Nw 16th Ave Apt 7, Portland, OR 97209-2648 | 2009-06-25 |
| 1871720136 | Corey Adair Fish | Pediatrics | 6924 Ne Sandy Blvd, Portland, OR 97213-5256 | 2009-06-14 |
| 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.