CORY AMANDA DONOVAN (NPI# 1205062692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205062692 |
| Entity Type | Individual |
| Full Name | CORY AMANDA DONOVAN |
| Credential | M.D. |
| Practice Address |
1040 Nw 22nd Ave Ste 560 Portland OR 97210-3097 |
| Mailing Address |
3701 Wilshire Boulevard Suite 600 Los Angeles CA 90010-4041 |
| Practice Telephone | 5034135525 |
| Practice Fax Number | 5034135526 |
| Mailing Telephone | 3233613550 |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD181298 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4650 W Sunset Blvd, Los Angeles, CA 900276062 | 3233612622 |
| Street Address |
1040 NW 22ND AVE STE 560 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295017523 | Gisele Renee Rohde | Physician Assistant | 1040 Nw 22nd Ave Ste 560, Portland, OR 97210 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720208556 | Kristen P Massimino | Surgery | 3181 Sw Sam Jackson Park Road #l579, Portland, OR 97239-3098 | 2007-04-26 |
| 1295163624 | William Wood Md Surgical Oncology LLC | Surgery | 185 Ne 102nd Ave, Portland, OR 97220-4169 | 2013-10-22 |
| 1548550874 | Jennifer Leigh Pasko | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-04-07 |
| 1013211739 | James H Imatani, Jr. M.d., PC | Surgery | 5050 Ne Hoyt St, Suite 610, Portland, OR 97213-2944 | 2011-01-10 |
| 1760617914 | James Y Lim | Surgery | 3303 Sw Bond Ave, Suite 7, Portland, OR 97239-4501 | 2009-05-18 |
| 1144378340 | Nw Surgical Oncology PC | Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2007-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063896603 | Avante, LLC | Surgery | 1410 Oak St, Ste 101, Eugene, OR 97401-4604 | 2015-07-14 |
| 1609092527 | Cascade Surgical Oncology, PC | Surgery | 1200 Hilyard St Ste 550, Eugene, OR 97401-8153 | 2007-04-18 |
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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.