JANA MARIE REDDOCH (NPI# 1164592382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164592382 |
| Entity Type | Individual |
| Full Name | JANA MARIE REDDOCH |
| Credential | MD |
| Practice Address |
9155 Sw Barnes Rd Suite 416 Portland OR 97225 |
| Practice Telephone | 5032978700 |
| Practice Fax Number | 5032972201 |
| Mailing Telephone | 5032978700 |
| Mailing Fax Number | 5032972201 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
16638 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 024660 | 05 |
| Street Address |
9155 SW BARNES RD SUITE 416 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362052 | Colleen Catherine Mccormick | Obstetrics & Gynecology | 1130 Nw 22nd Ave Ste 110, Portland, OR 97210-2934 | 2006-10-19 |
| 1861781767 | Cassandra Michelle Niemi | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 150, Portland, OR 97225-6691 | 2011-03-31 |
| 1730322702 | Weiya Wysham | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2009-04-07 |
| 1598927261 | Gina Louise Westhoff | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2008-06-25 |
| 1770598278 | Tanja Branko Pejovic | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, L466, Portland, OR 97239-3011 | 2006-07-31 |
| 1508838897 | Elizabeth Grace Munro | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-02-02 |
| 1295716496 | William Edward Winter IIi | Obstetrics & Gynecology | 265 N Broadway St, Portland, OR 97227-1800 | 2005-11-07 |
| 1811990484 | Paul Chien-chung Tseng | Obstetrics & Gynecology | 265 N Broadway St, Portland, OR 97227-1800 | 2005-05-27 |
| 1780687566 | Lisa Louise Mccluskey | Obstetrics & Gynecology | 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 | 2005-05-24 |
| 1629071592 | Jim Alan Gosewehr | Obstetrics & Gynecology | 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 | 2005-05-24 |
| 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.